Owensboro Health Medical Group, INC
NPI #1154745412 in Beaver Dam, Kentucky
Provider Information
- NPI Number
- 1154745412
- Entity Type
- Organization
- Organization Name
- Owensboro Health Medical Group, INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- OWENSBORO HEALTH, INC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Feb 6, 2014
- Last Updated
- Dec 1, 2022
Practice Location
- Address
- 1307 N MAIN ST
- City
- Beaver Dam
- State
- Kentucky
- ZIP Code
- 42320-8957
- Phone
- (270) 274-5602
Authorized Official
- Name
- RUSSELL S RANALLO
- Title
- SECRETARY
- Phone
- (270) 417-4813
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
| Nurse Practitioner |
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