| NPI | 1558794537 |
|---|---|
| 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 | 208D00000X General Practice |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner, Family | |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2024-02-01 |