Organization
OWENSBORO MEDICAL PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE BEYKE (MANAGER)
(270) 691-1834
Entity
Organization
Contact information
Practice address
1200 BRECKENRIDGE ST, OWENSBORO, KY 42303-1089
(270) 683-8672
(270) 685-8233
Mailing address
1200 BRECKENRIDGE ST, OWENSBORO, KY 42303-1089
(270) 683-8672
(270) 685-8233
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
3009832
KY
Other
Enumeration date
12/03/2015
Last updated
12/03/2015
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