NPI 1699447169

Logan Family Practice LLC

Organisation Rural Health Clinic/Center Russellville, KY

Practice location

Address: 1719 Nashville St STE C, Russellville, KY 42276-7804
Phone: (270) 726-7664
Mailing address: 680 S 4th St, Louisville, KY 40202-2407

Authorised official

Name: Johnetta Traylor
Title: Ao
Phone: (502) 596-6063

Registered specialties

Rural Health Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QR1300X

Other Clinic/Center providers in Kentucky →

Registry record

NPI: 1699447169
Entity type: Organization
NPI issued: 1 Oct 2021
Record last updated: 26 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.