Organization
OWENSBORO HEALTH MEDICAL GROUP INC
Active
Other names
Owensboro Health Medical Group Coag Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
RUSS RANALLO (CFO)
(270) 685-7180
Entity
Organization
Contact information
Practice address
1301 PLEASANT VALLEY RD STE 203, OWENSBORO, KY 42303-9774
(270) 417-7500
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363LC0200X
Critical Care Medicine Nurse Practitioner
—
—
Other
Enumeration date
03/03/2026
Last updated
03/04/2026
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