Logan Physician Practice, LLC

Nurse Practitioner · Auburn, KY

Organization Active NPI

NPI number 1265740765

Practice location

128 Sugar Maple Drive
Auburn, KY 42206
Phone
(615) 957-0847

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NPI record

NPI
1265740765
Entity type
Organization (Type 2)
Enumeration date
September 17, 2010
Last updated
July 3, 2024
Certified
July 3, 2024
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X — —

Authorized official

Name
Kathy J Teague
Title
Vice President and Corp Secretary
Phone
(629) 253-5121

Other names

  • Auburn Community Family Clinic

About Logan Physician Practice, LLC

Logan Physician Practice, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 128 Sugar Maple Drive, Auburn, KY 42206. The NPI number 1265740765 was assigned on September 17, 2010 and the record was last updated on July 3, 2024.

The authorized official for this organization is Kathy J Teague, Vice President and Corp Secretary.

Frequently asked questions

What is the NPI number of Logan Physician Practice, LLC?

The NPI number is 1265740765.

What is the phone number of Logan Physician Practice, LLC?

The phone number listed for the practice location is (615) 957-0847.

Where is Logan Physician Practice, LLC located?

128 Sugar Maple Drive, Auburn, KY 42206.

What is the taxonomy code for Logan Physician Practice, LLC?

The primary taxonomy code is 363L00000X – Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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