| Owensboro Health Medical Group, Inc | |
|
1895 Elizabethtown Rd Leitchfield KY 42754-9138 | |
| (270) 230-0182 | |
| Not Available |
| Full Name | Owensboro Health Medical Group, Inc |
|---|---|
| Speciality | Nurse Practitioner - Family |
| Location | 1895 Elizabethtown Rd, Leitchfield, Kentucky |
| Authorized Official Name and Position | Russell S Ranallo (SECRETARY) |
| Authorized Official Contact | 2704174813 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Owensboro Health Medical Group, Inc Po Box 23229 Owensboro KY 42304-3229 Ph: () - | Owensboro Health Medical Group, Inc 1895 Elizabethtown Rd Leitchfield KY 42754-9138 Ph: (270) 230-0182 |
| NPI Number | 1407452683 |
|---|---|
| Provider Enumeration Date | 12/11/2020 |
| Last Update Date | 08/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407452683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
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