Internal Medicine
LOGAN MEMORIAL HOSPITAL LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1164604732 · enumerated 2007-12-05 · record updated 2025-06-24. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: JOHNETTA TRAYLOR, AO · (502) 596-6063
Addresses and phones
- Practice location 1625 NASHVILLE ST, RUSSELLVILLE, KY, 42276-8853 (270) 726-4011 Google Maps Apple Maps OpenStreetMap
- Mailing address 680 S 4TH ST # KH-3, LOUISVILLE, KY, 40202-2407 (502) 596-6063 Google Maps Apple Maps OpenStreetMap
Specialties
- Emergency Medicine 207P00000X
- Radiology, Body Imaging 2085B0100X
- Radiology, Diagnostic Neuroimaging 2085D0003X
- Radiology, Diagnostic Radiology 2085R0202X
- Internal Medicine 207R00000X · Primary
In this directory
Locations and evidence
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Practice location
RUSSELLVILLE, KY, 422768853
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.