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NPI Code Detail

MEDICARE: DR. WILLIAM FREDERICK LOGGINS MD

MEDICARE: DR. WILLIAM FREDERICK LOGGINS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician20199KY
2207R00000XInternal Medicine Physician20199KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710921242
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM FREDERICK LOGGINS MD
Provider Business Mailing Address
First Line : 241 DESHA RD
Second Line :
City : LEXINGTON
State : KY
Zip : 40502-1803
Country : US
Telephone Number : 859-494-4425
Fax Number :
Provider Business Practice Location Address
First Line : 466 LINDEN AVE
Second Line :
City : HARRODSBURG
State : KY
Zip : 40330-1841
Country : US
Telephone Number : 859-874-5173
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2006
Last Update Date : 01/09/2017

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