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Organization
LOUISVILLE INJURY CLINICS, INC
Active
Organization
LOUISVILLE INJURY CLINICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY A BRONNER DO (MEDICAL DIRECTOR)
(727) 433-4734
Entity
Organization
Contact information
Practice address
4400 BRECKENRIDGE LANE, SUITE 102, LOUISVILLE, KY 40218
(502) 632-2646
(502) 632-2747
Mailing address
3044 BARDSTOWN RD PO BOX 241, SUITE 241, LOUISVILLE, KY 40205
(502) 753-3727
(502) 753-3728
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
171100000X
Acupuncturist
—
NULL
171100000X
Acupuncturist
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
2085R0202X
Diagnostic Radiology Physician
—
NULL
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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