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

Owensboro Health Medical Group, Inc

Organization Family Medicine Physician · NPI 1912594334

Owensboro Health Medical Group, Inc is a 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 103
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

Family Medicine Physician (primary) Taxonomy 207Q00000X
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1912594334
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationOwensboro Health, Inc
Authorized official Russell Ranallo — Secretary · (270) 417-4813
Other names Owensboro Health Medical Group-Family And Sports Medicine; Owensboro Health Medical Group-Family And Sports Medicine
NPI enumeratedDecember 31, 2020
Last updated in NPPESDecember 28, 2022
Certification dateDecember 28, 2022
Mailing addressPo Box 23229, Owensboro, KY 42304-3229

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