# LOUISVILLE INJURY CLINICS, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902461692
- **Authorized official:** MR. GREGORY A BRONNER DO (MEDICAL DIRECTOR)
- **Authorized official phone:** (727) 433-4734

## Contact information

- **Practice address:** 4400 BRECKENRIDGE LANE, SUITE 102, LOUISVILLE, KY 40218
- **Practice address phone:** (502) 632-2646
- **Practice address fax:** (502) 632-2747
- **Mailing address:** 3044 BARDSTOWN RD PO BOX 241, SUITE 241, LOUISVILLE, KY 40205
- **Mailing address phone:** (502) 753-3727
- **Mailing address fax:** (502) 753-3728

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 171100000X | Acupuncturist | — | NULL | — |
| 171100000X | Acupuncturist | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |

## Other

- **Enumeration date:** 05/08/2019
- **Last updated:** 05/08/2019