| Owensboro Health Medical Group - Neurology | |
|
1301 Pleasant Valley Rd Ste 300 Owensboro KY 42303-9774 | |
| (270) 417-7830 | |
| (270) 417-7839 |
| Full Name | Owensboro Health Medical Group - Neurology |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1301 Pleasant Valley Rd Ste 300, Owensboro, Kentucky |
| Authorized Official Name and Position | Russell S Ranallo (SECRETARY) |
| Authorized Official Contact | 2706918214 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Owensboro Health Medical Group - Neurology Po Box 23229 Owensboro KY 42304-3229 Ph: (270) 688-1330 | Owensboro Health Medical Group - Neurology 1301 Pleasant Valley Rd Ste 300 Owensboro KY 42303-9774 Ph: (270) 417-7830 |
| NPI Number | 1497193767 |
|---|---|
| Provider Enumeration Date | 06/10/2013 |
| Last Update Date | 09/21/2023 |
| Certification Date | 09/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497193767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (Kentucky) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (Kentucky) | Secondary |
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