Organization
OWENSBORO HEALTH MEDICAL GROUP, INC
Active
Parent organization
OWENSBORO HEALTH, INC
Other names
Owensboro Health Medical Group Internal Medicine - Leitchfield
Organization subpart
Yes
Provider details
NPI number
Legal business name
OWENSBORO HEALTH, INC
Authorized official
MR. RUSSELL S. RANALLO (CFO)
(270) 685-7180
Entity
Organization
Contact information
Practice address
912 WALLACE AVE STE 101, LEITCHFIELD, KY 42754-2405
(270) 259-9316
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
12/10/2020
Last updated
12/07/2022
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