Legacy Family Medicine LLC
Legacy Family Medicine LLC provides Family Medicine Physician services in West Logan, West Virginia. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1113 2nd AveWest Logan, WV 25601-3309
Phone: (304) 752-1900
Fax: (304) 752-0188
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1043967466 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Wendy White — Credentialing Specialist · (304) 688-7027 |
| NPI enumerated | March 5, 2022 |
| Last updated in NPPES | September 16, 2025 |
| Certification date | September 16, 2025 |
| Mailing address | 1113 2nd Ave, West Logan, WV 25601-3309 |
Other providers in West Logan
-
Dr. Karunasree Kanuri, MD
1115 2nd Ave, West Logan, WV 25601-3309 · (304) 831-0085
-
Summer Nicole New, FNP-BC
66 1/2 2nd Ave, West Logan, WV 25601-3149 · (304) 301-6233