OWENSBORO MEDICAL PRACTICE NPI 1336514264

NPI Information

NPI: 1336514264
Provider Name: OWENSBORO MEDICAL PRACTICE
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Organization

Specialization: Gerontology

Address:
1200 BRECKENRIDGE ST
OWENSBORO, KY
ZIP 42303
Phone: (270) 683-8672
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OWENSBORO MEDICAL PRACTICE is a gerontology nurse practitioner in Owensboro, KY. OWENSBORO MEDICAL PRACTICE NPI is 1336514264. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1200 BRECKENRIDGE ST
OWENSBORO, KY
ZIP 42303-089
Phone: (270) 683-8672
Fax: (270) 685-8233

The provider's authorized official is Michele Beyke .
The authorized official title is Manager and has the following contact phone number (270) 691-1834.

The enumeration date for this NPI number is 12/3/2015 and was last updated on 12/3/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	3009832	KENTUCKY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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