Organization
OWENSBORO HEALTH MEDICAL GROUP, INC
Active
Parent organization
OWENSBORO HEALTH, INC
Other names
Owensboro Health Medical Group - Orthopedics & Sports Medicine
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
1301 PLEASANT VALLEY RD, SUITE 500B, OWENSBORO, KY 42303-9774
(270) 417-7940
(270) 417-7949
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
KY
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
KY
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
07/14/2014
Last updated
12/01/2022
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