Organization
OWENSBORO HEALTH MEDICAL GROUP, INC
Active
Parent organization
OWENSBORO HEALTH, INC
Other names
Owensboro Heatlh Medical Group Ear Nose and Throat - Owensboro
Organization subpart
Yes
Provider details
NPI number
Legal business name
OWENSBORO HEALTH, INC
Authorized official
RUSSELL S. RANALLO (SECRETARY)
(270) 685-7180
Entity
Organization
Contact information
Practice address
1000 BRECKENRIDGE ST STE 303, OWENSBORO, KY 42303-0877
(270) 688-2720
(270) 688-2729
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
KY
207YS0123X
Facial Plastic Surgery Physician
—
—
208200000X
Plastic Surgery Physician
—
KY
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100319530 (MD)
—
KY
Enumeration date
07/29/2014
Last updated
10/30/2023
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