| NPI | 1912594334 |
|---|---|
| Doing Business As | OWENSBORO HEALTH MEDICAL GROUP-FAMILY AND SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | RUSSELL S RANALLO Secretary 270-417-4813 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
| 207X00000X Orthopaedic Surgery | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2020-12-31 |
| Last Update Date | 2022-12-28 |