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Organization

OWENSBORO HEALTH MEDICAL GROUP, INC

Active
Other names
Owensboro Health Medical Group - Unifirst Clinic, Owensboro Health Unifirst
Organization subpart
No

Provider details

NPI number
Authorized official
RUSSELL S RANALLO (SECRETARY)
(270) 417-4813
Entity
Organization

Contact information

Practice address
2801 UNIFIRST DR, OWENSBORO, KY 42301-7701
(270) 713-0478
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 691-8070

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner
363LF0000X
Family Nurse Practitioner
Primary
KY

Other

Enumeration date
07/24/2017
Last updated
12/28/2022
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