KIBBE ORTHOPEDICS PLLC NPI 1073252375

NPI Information

  • NPI: 1073252375
  • Provider Name: KIBBE ORTHOPEDICS PLLC
  • Classification: Orthopaedic Surgery - 207X00000X
  • Entity Type: Organization
  • Address: 809 MORTON AVE STE 100
    BARDSTOWN, KY
    ZIP 40004
  • Phone: (502) 834-5676

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NPI Details

KIBBE ORTHOPEDICS PLLC is an orthopaedic surgery in Bardstown, KY. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. KIBBE ORTHOPEDICS PLLC NPI is 1073252375. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

809 MORTON AVE STE 100
BARDSTOWN, KY
ZIP 40004-565
Phone: (502) 834-5676
Fax: (833) 700-1693

The provider's authorized official is Shane Kibbe .
The authorized official title is Owner and has the following contact phone number (502) 834-5676.

The enumeration date for this NPI number is 6/3/2022 and was last updated on 5/20/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic SurgeryYes
2207XX0005XOrthopaedic SurgerySports MedicineNo
3332B00000XDurable Medical Equipment & Medical SuppliesNo

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17100843930MEDICAIDKENTUCKY

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: 11/21/2025

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