| Owensboro Health Medical Group-family Medicine | |
|
910 Wallace Ave Ste 301 Leitchfield KY 42754-2418 | |
| (270) 259-9651 | |
| Not Available |
| Full Name | Owensboro Health Medical Group-family Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 910 Wallace Ave Ste 301, 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-family Medicine Po Box 23229 Owensboro KY 42304-3229 Ph: (270) 688-1330 | Owensboro Health Medical Group-family Medicine 910 Wallace Ave Ste 301 Leitchfield KY 42754-2418 Ph: (270) 259-9651 |
| NPI Number | 1295331718 |
|---|---|
| Provider Enumeration Date | 12/09/2020 |
| Last Update Date | 01/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295331718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
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