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Individual

DR. WILLIAM M RENDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4001 KRESGE WAY, SUITE 100, LOUISVILLE, KY 40207-4640
(502) 897-6579
(502) 357-1682
Mailing address
4001 KRESGE WAY, SUITE 100, LOUISVILLE, KY 40207-4640
(502) 897-6579
(502) 357-1682

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
20264
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64202641
KY
Enumeration date
08/10/2005
Last updated
02/28/2008
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