Organization
OWENSBORO HEALTH MEDICAL GROUP, INC.
Active
Other names
Owensboro Health Medical Group - Family Medicine Residency
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL S RANALLO (SECRETARY)
(270) 691-8022
Entity
Organization
Contact information
Practice address
811 E PARRISH AVE STE 102, OWENSBORO, KY 42303-3258
(270) 688-2077
(270) 688-2078
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 691-8070
(270) 691-8026
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
208000000X
Pediatrics Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
12/05/2018
Last updated
03/19/2024
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