Logan Physician Practice LLC
NPI 1649203043 · Family Medicine Physician · Russellville, KY
Logan Physician Practice LLC is a Family Medicine Physician organization in Russellville, KY (NPI 1649203043).
Provider details
- NPI number
- 1649203043
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kathy Teague, Vp, Corporate Secretary(629) 253-5121
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Pulmonary Disease Physician207RP1001X
Allopathic & Osteopathic Physicians
- Orthopaedic Surgery Physician207X00000X
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
- Surgery Physician208600000X
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-09
- Last updated
- 2023-04-13
- Certified
- 2023-04-13
Frequently asked questions
- What is Logan Physician Practice LLC's NPI number?
- Logan Physician Practice LLC's National Provider Identifier (NPI) is 1649203043, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Logan Physician Practice LLC?
- Logan Physician Practice LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Logan Physician Practice LLC located?
- Logan Physician Practice LLC's practice location on file with NPPES is 975 Hopkinsville Rd, Russellville, KY 42276-9792.
- What is Logan Physician Practice LLC's phone number?
- The practice phone number listed in the NPPES registry for Logan Physician Practice LLC is (270) 726-2738.
- Who is the authorized official for Logan Physician Practice LLC?
- The authorized official listed on Logan Physician Practice LLC's NPPES record is Kathy Teague, Vp, Corporate Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Logan Physician Practice LLC's NPI active?
- Yes — Logan Physician Practice LLC's NPI (1649203043) is active in the NPPES registry as of the last update on 2023-04-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.