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Organization
BLUEGRASS SPORTS MEDICINE PLLC
Active
Organization
BLUEGRASS SPORTS MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREG W RENNIRT MD (MD)
(502) 895-1489
Entity
Organization
Contact information
Practice address
3920 DUTCHMANS LN, SUITE 314, LOUISVILLE, KY 40207-4702
(502) 895-1489
(502) 895-1261
Mailing address
3920 DUTCHMANS LN, SUITE 314, LOUISVILLE, KY 40207-4702
(502) 895-1489
(502) 895-1261
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
29728
KY
Other
Enumeration date
01/13/2007
Last updated
11/15/2007
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