| NPI | 1497806905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG W RENNIRT Md 502-895-1489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: KY 29728) |
| Enumeration Date | 2007-01-13 |
| Last Update Date | 2007-11-15 |