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Individual

MRS. DIANE A RENNIRT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
400 BLANKENBAKER PKWY STE 201, LOUISVILLE, KY 40243-1850
(502) 713-0777
(502) 713-0778
Mailing address
400 BLANKENBAKER PKWY STE 201, LOUISVILLE, KY 40243-1850
(502) 713-0777
(502) 713-0778

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35001
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64034200
KY
Enumeration date
04/17/2006
Last updated
06/02/2025
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