LOGAN FAMILY PRACTICE LLC
NPI 1699447169
Clinic/Center - Rural Health in Russellville, KY
About Logan Family Practice Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LOGAN FAMILY PRACTICE LLC (NPI 1699447169) is a healthcare organization registered as a rural health in Russellville, Kentucky and active in the NPI registry since October 2021. The organization lists Johnetta Traylor, Ao, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RUSSELLVILLE, KY 42276
RUSSELLVILLE, KY 42276
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Logan Family Practice LLC's NPI number?
The NPI number for Logan Family Practice LLC is 1699447169. It was assigned to this organization in the NPPES registry on October 1, 2021.
Where is Logan Family Practice LLC located?
Logan Family Practice LLC is located at 1719 Nashville St Ste C, Russellville, KY 42276. The listed phone number is (270) 726-7664.
What is Logan Family Practice LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
When was this NPI record last updated?
The NPPES record for Logan Family Practice LLC was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Logan Family Practice Llc · NPI 1699447169
Rural Health organization in Russellville, Kentucky. Organization record, active in the CMS NPPES registry since October 1, 2021.
## Identity
- **NPI:** 1699447169 (Entity type: Organization)
- **Enumerated:** October 1, 2021
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Organization subpart:** No
- **Authorized official:** Johnetta Traylor, AO
## Practice location
- **Address:** 1719 NASHVILLE ST STE C, Russellville, KY 42276-7804
- **Phone:** (270) 726-7664
## Record status
- **NPPES last updated:** June 26, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1699447169) · Data from the CMS NPPES public registry.