Organization
OWENSBORO INTERNAL MEDICINE ASSOCIATES
Active
Other names
owensboro internal medicine associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILL KELLY (OFFICE MANAGER)
(270) 688-1225
Entity
Organization
Contact information
Practice address
815 E PARRISH AVE, STE 230, OWENSBORO, KY 42303-3222
(270) 688-2000
(270) 666-1204
Mailing address
815 E PARRISH AVE, STE 230, OWENSBORO, KY 42303-3222
(270) 688-2000
(270) 666-1204
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16324
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000215988
BCBS ID NUMBER
KY
01
—
000000050188
BCBS ID NUMBER
KY
01
—
000000050189
BCBS ID NUMBER
KY
05
—
65922569
—
KY
Enumeration date
06/13/2005
Last updated
08/22/2020
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