Organization
OSG OF KY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY REIBEL (PRESIDENT, CFO)
(502) 254-8500
Entity
Organization
Contact information
Practice address
134 EVERGREEN RD STE 201, LOUISVILLE, KY 40243-1486
(502) 254-8532
Mailing address
PO BOX 437169, LOUISVILLE, KY 40253-7169
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
04/24/2026
Last updated
04/24/2026
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