| NPI | 1992292288 |
|---|---|
| Doing Business As | OWENSBORO HEALTH SURGICAL WEIGHT LOSS CENTER |
| Entity Type | Organization |
| Authorized Contact | RUSSELL S RANALLO Secretary 270-685-7180 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2022-08-02 |