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Organization

OWENSBORO FAMILY MEDICINE, PSC

Active
Parent organization
OWENSBORO FAMILY MEDICINE,PSC
Other names
Owensboro Family Medicine, PSC
Organization subpart
Yes

Provider details

NPI number
Legal business name
OWENSBORO FAMILY MEDICINE,PSC
Authorized official
MS. SANDY GOODMAN (OFFICE MANAGER)
(270) 688-0829
Entity
Organization

Contact information

Practice address
1325 TRIPLETT ST, OWENSBORO, KY 42303-3163
(270) 688-0829
Mailing address
PO BOX 1370, OWENSBORO, KY 42302-1370

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100011750
KY
Enumeration date
12/31/2007
Last updated
01/22/2008
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