| 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 |