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Family Medicine

LOGAN PHYSICIAN PRACTICE 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 Plan acceptance stays unpublished until the practice reports it.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 1649203043 · enumerated 2006-07-09 · record updated 2023-04-13. Source: CMS NPPES. A listing is not a TRICARE network approval.

Authorized official: KATHY TEAGUE, VP, Corporate Secretary · (629) 253-5121

Addresses and phones

Specialties

  • Internal Medicine 207R00000X
  • Internal Medicine, Pulmonary Disease 207RP1001X
  • Orthopaedic Surgery 207X00000X
  • Pediatrics 208000000X
  • Surgery 208600000X
  • Physician Assistant 363A00000X
  • Nurse Practitioner 363L00000X
  • Nurse Practitioner, Family 363LF0000X
  • Family Medicine 207Q00000X · Primary

In this directory

Locations and evidence

  • Practice location RUSSELLVILLE, KY, 422769792
    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.