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Individual

DR. GREGORY W RENNIRT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
234 E GRAY ST STE 564, LOUISVILLE, KY 40202-1914
(502) 629-5460
(502) 629-5461
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0325

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
29728
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64297286
KY
Enumeration date
07/26/2006
Last updated
08/29/2019
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