KENTUCKIANA FOOT AND ANKLE PLLC NPI 1114177979

NPI Information

NPI: 1114177979
Provider Name: KENTUCKIANA FOOT AND ANKLE PLLC

Doing Business As: KENTUCKY/INDIANA FOOT AND ANKLE SPECIALIST

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
7397 JEFFERSON BLVD
LOUISVILLE, KY
ZIP 40219
Phone: (502) 805-3338
Get Directions

KENTUCKIANA FOOT AND ANKLE PLLC is a foot and ankle surgery podiatrist in Louisville, KY. KENTUCKIANA FOOT AND ANKLE PLLC NPI is 1114177979. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Kentucky/indiana Foot And Ankle Specialist.

The provider's business location address is:

7397 JEFFERSON BLVD
LOUISVILLE, KY
ZIP 40219-178
Phone: (502) 805-3338
Fax: (502) 805-7149

The provider's authorized official is Syed A Khader .
The authorized official title is Owner Physician and has the following contact phone number (502) 968-2233.

The enumeration date for this NPI number is 9/29/2008 and was last updated on 7/10/2023.

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	Primary
1	225100000X	Physical Therapist		No
2	261QM1200X	Clinic/Center	Magnetic Resonance Imaging (MRI)	No
3	332B00000X	Durable Medical Equipment & Medical Supplies		No
4	207RI0200X	Internal Medicine	Infectious Disease	No
5	207X00000X	Orthopaedic Surgery		No
6	213ES0103X	Podiatrist	Foot & Ankle Surgery	Yes

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
1	000000590059	OTHER	INDIANA	ANTHEM
2	50022119	OTHER	KENTUCKY	PASSPORT
3	7100061090	MEDICAID	KENTUCKY
4	DO1639	OTHER	INDIANA	RAILROAD MEDICARE
5	DQ5708	OTHER	KENTUCKY	RAILROAD MEDICARE
6	200918130A	MEDICAID	INDIANA

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

NPI Synchronization or Removal

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