NPI | 1861248502 |
---|---|
Doing Business As | OWENSBORO HEALTH MOBILE CLINIC |
Entity Type | Organization |
Authorized Contact | RUSSELL S. RANALLO Secretary CFO 270-685-7180 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 208000000X Pediatrics |
363A00000X Physician Assistant | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2024-04-24 |
Last Update Date | 2024-09-09 |