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Organization
OWENSBORO HEALTH MEDICAL GROUP INC
Active
Organization
OWENSBORO HEALTH MEDICAL GROUP INC
Active
Parent organization
OWENSBORO HEALTH INC
Other names
Owensboro Health Medical Group - Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
OWENSBORO HEALTH INC
Authorized official
RUSSELL S RANALLO (SECRETARY)
(270) 417-4813
Entity
Organization
Contact information
Practice address
1325 TRIPLETT ST # A, OWENSBORO, KY 42303
(270) 686-8500
(270) 685-5467
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 686-8500
(270) 685-5467
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
NULL
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
06/04/2015
Last updated
12/07/2022
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