Organization
OWENSBORO FAMILY MEDICINE PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILL J BRYANT MD (OWNER PRESIDENT)
(270) 686-8500
Entity
Organization
Contact information
Practice address
1325 TRIPLETT ST, OWENSBORO, KY 42303
(270) 686-8500
(270) 685-5467
Mailing address
1325 TRIPLETT ST, OWENSBORO, KY 42303
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65922197
—
KY
Enumeration date
09/22/2006
Last updated
05/13/2010
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