# OWENSBORO INTERNAL MEDICINE ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** owensboro internal medicine associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255335774
- **Authorized official:** MR. BILL KELLY (OFFICE MANAGER)
- **Authorized official phone:** (270) 688-1225

## Contact information

- **Practice address:** 815 E PARRISH AVE, STE 230, OWENSBORO, KY 42303-3222
- **Practice address phone:** (270) 688-2000
- **Practice address fax:** (270) 666-1204
- **Mailing address:** 815 E PARRISH AVE, STE 230, OWENSBORO, KY 42303-3222
- **Mailing address phone:** (270) 688-2000
- **Mailing address fax:** (270) 666-1204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 16324 | KY | Yes |

## Other

- **Enumeration date:** 06/13/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0000000215988 | BCBS ID NUMBER | KY |
| 01 | — | 000000050188 | BCBS ID NUMBER | KY |
| 01 | — | 000000050189 | BCBS ID NUMBER | KY |
| 05 | — | 65922569 | — | KY |