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Logan Physician Practice LLC

Family Medicine Physician in Russellville, KY · enumerated 2006 · authorized official Kathy Teague, Vp, Corporate Secretary.

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

National Provider Identifier

1649203043

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Registry record

Entity type Organization (Type 2)
Legal business name Logan Physician Practice LLC
Practice address 975 Hopkinsville Rd, Russellville, KY, 42276
Enumeration date Jul 9, 2006
Last updated in NPPES Apr 13, 2023

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
207RP1001X Pulmonary Disease Physician Allopathic & Osteopathic Physicians Secondary
207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary
208600000X Surgery Physician Allopathic & Osteopathic Physicians Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Kathy Teague
Title Vp, Corporate Secretary

Other identifiers

Identifier Type State Issuer
65935777 Medicaid KY -

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

What type of organization is Logan Physician Practice LLC?
Logan Physician Practice LLC is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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