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Logan Physician Practice LLC

Internal Medicine Physician in Russellville, KY · enumerated 2018 · authorized official Kathy Teague, Vp, Corporate Secretary.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1013408053

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Registry record

Entity type Organization (Type 2)
Legal business name Logan Physician Practice LLC
Other name <Unavail>
Practice address 975 Hopkinsville Rd, Russellville, KY, 42276
Phone (270) 726-2738
Fax (270) 726-9508
Enumeration date May 25, 2018
Last updated in NPPES Apr 13, 2023

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary
261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Kathy Teague
Title Vp, Corporate Secretary
Phone (629) 253-5121

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-04-13. Verify at npiregistry.cms.hhs.gov.
Where is Logan Physician Practice LLC located?
The practice location on file with NPPES is in Russellville, KY.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-04-13.