| NPI | 1043863509 |
|---|---|
| Doing Business As | OWENSBORO HEALTH MEDICAL GROUP - PAIN MANAGEMENT MUHLENBERG |
| Entity Type | Organization |
| Authorized Contact | RUSSELL S RANALLO Secretary 270-417-4813 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 208VP0000X |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2024-04-01 |