Owensboro Health Medical Group, Inc.

NPI #1770210387 in Madisonville, Kentucky

Provider Information

NPI Number: 1770210387
Entity Type: Organization
Organization Name: Owensboro Health Medical Group, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: OWENSBORO HEALTH, INC
Primary Specialty: Urology
Enumeration Date: Aug 3, 2022
Last Updated: Mar 21, 2023

Practice Location

Address: 444 S MAIN ST # A
City: Madisonville
State: Kentucky
ZIP Code: 42431-2846
Phone: (270) 417-7880

Authorized Official

Name: MR. RUSSELL S. RANALLO
Title: CFO
Phone: (270) 685-7180

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Nurse Practitioner - Family — Family	363LF0000X
Urology	208800000X	Primary

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