# OWENSBORO FAMILY MEDICINE, PSC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OWENSBORO FAMILY MEDICINE,PSC
- **Other names:** Owensboro Family Medicine, PSC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1881879542
- **Legal business name:** OWENSBORO FAMILY MEDICINE,PSC
- **Authorized official:** MS. SANDY GOODMAN (OFFICE MANAGER)
- **Authorized official phone:** (270) 688-0829

## Contact information

- **Practice address:** 1325 TRIPLETT ST, OWENSBORO, KY 42303-3163
- **Practice address phone:** (270) 688-0829
- **Mailing address:** PO BOX 1370, OWENSBORO, KY 42302-1370

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/31/2007
- **Last updated:** 01/22/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7100011750 | — | KY |