Organization
OWENSBORO HEALTH MEDICAL GROUP INC
Active
Parent organization
OWENSBORO HEALTH, INC
Other names
Owensboro Health Medical Group - Pain Management
Organization subpart
Yes
Provider details
NPI number
Legal business name
OWENSBORO HEALTH, INC
Authorized official
RUSSELL S RANALLO (SECRETARY)
(270) 417-4813
Entity
Organization
Contact information
Practice address
1000 BRECKENRIDGE ST, SUITE 205, OWENSBORO, KY 42303-0839
(270) 688-3550
(270) 688-3559
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
—
KY
208VP0014X
Interventional Pain Medicine Physician
Primary
—
KY
Other
Enumeration date
03/26/2015
Last updated
12/01/2022
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