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Contact Information

RENEST (I) RISE
400 RING RD STE 155
ELIZABETHTOWN, KY42701-8790
 Phone: 844-473-6378
 Fax: 270-246-9950
 Website:
Indicates primary specialty

NPI Profile & details for RENEST (I) RISE

NPI # 1811861255
LBN Legal business name RENEST (I) RISE
Authorized official THERESA WADDELL - (ADMINISTRATIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/30/2025
Last updated 09/30/2025 - About 8 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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