Organization
OWENSBORO HEALTH MEDICAL GROUP, INC.
Active
Parent organization
OWENSBORO HEALTH, INC
Other names
Owensboro Health Prevention Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
OWENSBORO HEALTH, INC
Authorized official
RUSSELL S. RANALLO (SECRETARY-CFO)
(270) 685-7180
Entity
Organization
Contact information
Practice address
1301 PLEASANT VALLEY RD STE 404A, OWENSBORO, KY 42303-9774
(270) 417-7641
(270) 417-7577
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
Other
Enumeration date
12/13/2023
Last updated
03/06/2024
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