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Individual

DR. BENJAMIN MAURICE RISNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7926 PRESTON HWY, SUITE 106, LOUISVILLE, KY 40219-3848
(502) 964-4357
(502) 966-5948
Mailing address
PO BOX 950202, LOUISVILLE, KY 40295-0202
(502) 588-9490
(502) 272-5116

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
48684
KY
207Q00000X
Family Medicine Physician
Primary
48684
KY

Other

Enumeration date
06/21/2012
Last updated
05/06/2016
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