Organization
OWENSBORO HEALTH MEDICAL GROUP, INC
Active
Parent organization
OWENSBORO HEALTH, INC
Other names
Owensboro Health Medical Group - Ear, Nose and Throat
Organization subpart
Yes
Provider details
NPI number
Legal business name
OWENSBORO HEALTH, INC
Authorized official
RUSSELL S RANALLO (SECRETARY-CFO)
(270) 685-7180
Entity
Organization
Contact information
Practice address
910 WALLACE AVE STE 207, LEITCHFIELD, KY 42754-2408
(270) 259-2714
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
231H00000X
Audiologist
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
12/10/2020
Last updated
11/22/2022
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