| Diane Rennirt Md, Pllc | |
|
400 Blankenbaker Pkwy Ste 201 Louisville KY 40243-1850 | |
| (502) 713-0777 | |
| (502) 713-0778 |
| Full Name | Diane Rennirt Md, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 400 Blankenbaker Pkwy Ste 201, Louisville, Kentucky |
| Authorized Official Name and Position | Diane Rennirt (OWNER) |
| Authorized Official Contact | 5027130777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diane Rennirt Md, Pllc 400 Blankenbaker Pkwy Ste 201 Louisville KY 40243-1850 Ph: (502) 713-0777 | Diane Rennirt Md, Pllc 400 Blankenbaker Pkwy Ste 201 Louisville KY 40243-1850 Ph: (502) 713-0777 |
| NPI Number | 1568052801 |
|---|---|
| Provider Enumeration Date | 01/20/2021 |
| Last Update Date | 06/02/2025 |
| Medicare PECOS PAC ID | 7810301983 |
|---|---|
| Medicare Enrollment ID | O20210201001742 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568052801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Diane A Rennirt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124083969 PECOS PAC ID: 4183672447 Enrollment ID: I20050104000657 |
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