Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Owensboro Health Medical Group, Inc

Organization Sports Medicine (Family Medicine) Physician · NPI 1548866072

Owensboro Health Medical Group, Inc is a Sports Medicine (Family Medicine) Physician in Leitchfield, Kentucky. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

908 Wallace Ave Ste 109
Leitchfield, KY 42754-1479
Phone: (270) 230-0124
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X
Podiatrist Taxonomy 213E00000X
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X

Record details

NPI number1548866072
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationOwensboro Health, Inc
Authorized official Russell Ranallo — Secretary · (270) 417-4813
Other names Owensboro Health Medical Group-Orthopedics And Sports Medicine; Owensboro Health Medical Group-Orthopedics And Sports Medicine
NPI enumeratedDecember 9, 2020
Last updated in NPPESApril 24, 2023
Certification dateApril 24, 2023
Mailing addressPo Box 23229, Owensboro, KY 42304-3229

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