Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Diabetes Educator |
163WD0400X |
| NPI # | 1285164491 |
| LBN Legal business name | OWENSBORO HEALTH MEDICAL GROUP, INC |
| Authorized official | JOHN HACKBARTH - (SECRETARY) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 06/20/2017 |
| Last updated | 06/20/2017 - About 9 years ago |
| Identifiers | n/a |
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