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BLUEGRASS SPORTS MEDICINE PLLC NPI 1497806905


NPI Information

NPI: 1497806905
Provider Name: BLUEGRASS SPORTS MEDICINE PLLC
Classification: Neuromusculoskeletal Medicine & OMM - 204D00000X
Entity Type: Organization
Address:
3920 DUTCHMANS LN
SUITE 314
LOUISVILLE, KY
ZIP 40207
Phone: (502) 895-1489
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BLUEGRASS SPORTS MEDICINE PLLC is a neuromusculoskeletal medicine omm in Louisville, KY. The provider is the Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. BLUEGRASS SPORTS MEDICINE PLLC NPI is 1497806905. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3920 DUTCHMANS LN
SUITE 314
LOUISVILLE, KY
ZIP 40207-702
Phone: (502) 895-1489
Fax: (502) 895-1261

The provider's authorized official is Greg W Rennirt .
The authorized official title is Md and has the following contact phone number (502) 895-1489.

The enumeration date for this NPI number is 1/13/2007 and was last updated on 11/15/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204D00000XNeuromusculoskeletal Medicine & OMM29728KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100232MEDICARE PINKENTUCKY
2F65944MEDICARE UPINKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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