| NPI | 1952736365 |
|---|---|
| Doing Business As | OWENSBORO HEALTH MEDICAL GROUP - UROLOGY |
| Entity Type | Organization |
| Authorized Contact | RUSSELL S RANALLO Secretary 270-417-4813 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2022-12-28 |