Owensboro Health Medical Group INC
Nurse Practitioner in Dixon, KY. Organization (NPI-2).
NPI number1649652249
StatusActive
Last updated in NPPESJan 4, 2018
Details
- NPI
- 1649652249
- Entity type
- Organization (NPI-2)
- Legal business name
- Owensboro Health Medical Group INC
- Organization subpart
- Yes
- Enumeration date
- Jun 19, 2015
- Last updated
- Jan 4, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | – | KY | Yes |
Other names
- Owensboro Health Medical Group - Family Medicine (Doing Business As)
Practice location
1871 Us Highway 41a SDixon, KY 42409-9448
Phone 270-639-9440 · Fax 270-639-9446
Mailing address
Po Box 23229Owensboro, KY 42304-3229
Phone 270-691-8070
Authorized official
John T Hackbarth
Secretary
2704174813
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