Organization
OWENSBORO HEALTH MEDICAL GROUP INC
Active
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
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
03/03/2026
Last updated
05/28/2026
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