Organization
PULMONARY ASSOCIATES OF OWENSBORO PSC
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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