Organization
OWENSBORO MEDICAL PRACTICE, PLLC
Active
Other names
Owensboro Medical Practice, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCES MICHELE BEYKE (ADMINISTRATION)
(270) 691-1830
Entity
Organization
Contact information
Practice address
1200 BRECKENRIDGE ST, OWENSBORO, KY 42303-1089
(270) 683-8672
(270) 685-8223
Mailing address
1200 BRECKENRIDGE ST, OWENSBORO, KY 42303-1089
(270) 684-0028
(270) 685-8233
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RI0011X
Interventional Cardiology Physician
28753
KY
207RP1001X
Pulmonary Disease Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
2084N0400X
Neurology Physician
—
—
363A00000X
Physician Assistant
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65934192
—
KY
05
—
78901972
—
KY
05
—
95901260
—
KY
Enumeration date
07/27/2006
Last updated
02/18/2022
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