| NPI | 1770210387 |
|---|---|
| Doing Business As | OWENSBORO HEALTH MEDICAL GROUP - UROLOGY |
| Entity Type | Organization |
| Authorized Contact | RUSSELL S. RANALLO CFO 270-685-7180 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2022-08-03 |
| Last Update Date | 2023-03-21 |