Organization
OWENSBORO HEALTH MEDICAL GROUP INC
Active
Parent organization
OWENSBORO HEALTH INC
Other names
Owensboro Health Weight Management
Organization subpart
Yes
Provider details
NPI number
Legal business name
OWENSBORO HEALTH INC
Authorized official
RUSSELL S RANALLO (SECRETARY)
(270) 685-7180
Entity
Organization
Contact information
Practice address
2235 MAYFAIR DR, OWENSBORO, KY 42301-4519
(270) 688-1500
(270) 688-1501
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC1900X
Counseling Psychologist
—
—
133V00000X
Registered Dietitian
—
—
207RB0002X
Obesity Medicine (Internal Medicine) Physician
Primary
—
KY
208600000X
Surgery Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/23/2018
Last updated
01/17/2025
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