| NPI | 1033522271 |
|---|---|
| Doing Business As | OWENSBORO HEALTH MEDICAL GROUP - PLASTIC AND RECONSTRUCTIVE SURGERY |
| Entity Type | Organization |
| Authorized Contact | RUSSELL S RANALLO Secretary 270-417-4813 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2023-06-07 |