Organization
OWENSBORO HEALTH MEDICAL GROUP, INC
Active
Parent organization
OWENSBORO HEALTH, INC
Other names
Owensboro Health Medical Group - Family 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
811 E PARRISH AVE STE 101, OWENSBORO, KY 42303-3258
(270) 691-8040
(270) 691-8049
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
KY
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
208D00000X
General Practice Physician
—
—
363A00000X
Physician Assistant
—
KY
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
KY
Other
Enumeration date
02/20/2014
Last updated
12/07/2022
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