Organization
OWENSBORO HEALTH MEDICAL GROUP, INC
Active
Other names
Owensboro Health Medical Group - Surgical Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL S RANALLO (SECRETARY)
(270) 417-4813
Entity
Organization
Contact information
Practice address
2801 NEW HARTFORD RD, OWENSBORO, KY 42303-1320
(270) 688-3720
(270) 686-7331
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
KY
246ZS0410X
Surgical Technologist
—
KY
363A00000X
Physician Assistant
—
KY
363AS0400X
Surgical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
KY
363LG0600X
Gerontology Nurse Practitioner
—
KY
Other
Enumeration date
03/20/2013
Last updated
12/07/2022
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