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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 - Podiatry
Organization subpart
Yes
Provider details
NPI number
Legal business name
OWENSBORO HEALTH, INC
Authorized official
RUSSELL S RANALLO (SECRETARY)
(270) 685-7180
Entity
Organization
Contact information
Practice address
910 WALLACE AVE STE 301, LEITCHFIELD, KY 42754-2418
(270) 200-4545
(270) 200-4543
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
06/01/2023
Last updated
07/05/2023
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