Individual
WERNER GRENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
106 NAMI PLZ STE 2, LONDON, KY 40741-3125
(606) 864-0254
(606) 864-0259
Mailing address
2197 PINE HILL BROCK RD, LONDON, KY 40741-8502
(606) 877-1840
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
02269
KY
207Q00000X
Family Medicine Physician
Primary
02269
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3319534
—
TN
05
—
64022692
—
KY
Enumeration date
05/25/2006
Last updated
06/04/2009
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