NPI | 1992292288 |
---|---|
Doing Business As | OWENSBORO HEALTH WEIGHT MANAGEMENT |
Entity Type | Organization |
Authorized Contact | RUSSELL S RANALLO Secretary 270-685-7180 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine |
Additional Taxonomies | 101YP2500X Counselor, Professional |
103TC1900X Psychologist, Counseling | |
133V00000X Dietitian, Registered | |
208600000X Surgery | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2018-04-23 |
Last Update Date | 2025-01-17 |