| NPI | 1457731515 |
|---|---|
| Doing Business As | OWENSBORO HEALTH MEDICAL GROUP - FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | RUSSELL S RANALLO Secretary 270-417-4813 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2022-12-07 |