Individual
RYAN GRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 852-5851
(502) 852-3762
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0328
(502) 587-4784
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036174697
IL
207L00000X
Anesthesiology Physician
271331
MA
207L00000X
Anesthesiology Physician
Primary
54817
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300051354
—
IN
05
—
7100741630
—
KY
Enumeration date
03/20/2017
Last updated
05/06/2025
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