| NPI | 1154661569 |
|---|---|
| Doing Business As | OWENSBORO HEALTH MEDICAL GROUP - CHILDREN'S CENTER |
| Entity Type | Organization |
| Authorized Contact | RUSSELL S RANALLO Secretary 270-691-8214 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2022-12-01 |