Organization
PULMONARY ASSOCIATES OF OWENSBORO PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM M O'BRYAN MD (PRESIDENT)
(270) 926-8810
Entity
Organization
Contact information
Practice address
1000 BRECKENRIDGE ST, SUITE 300, OWENSBORO, KY 42303-0839
(270) 926-8810
(270) 926-7955
Mailing address
PO BOX 1875, OWENSBORO, KY 42302-1875
(270) 926-8810
(270) 926-7955
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021103000
DEPT OF LABOR
—
01
—
15D5
BLUE CROSS BLUE SHIELD
—
05
—
200034800A
—
IN
05
—
65925059
—
KY
05
—
78902335
—
KY
01
—
CK4221
RR MEDICARE
—
Enumeration date
08/10/2005
Last updated
11/07/2008
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