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Contact Information

KENTUCKIANA FOOT & ANKLE PLLC
7397 JEFFERSON BLVD
LOUISVILLE, KY40219-6178
 Phone: 502-805-3338
 Fax: 502-805-7149
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
 

Magnetic Resonance Imaging (MRI)

261QM1200X
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KENTUCKIANA FOOT ANKLE PLLC · (Female)

NPI # 1114177979
Status Active
Credentials
Entity Individual
Enumeration date 09/29/2008
Last updated 11/13/2025 - About 7 months ago
Sole proprietor 1 Not specified
Identifiers
  • IN Medicaid 200918130A
  • KY Medicaid 7100061090
  • IN Other 000000590059 ANTHEM
  • IN Other DO1639 RAILROAD MEDICARE
  • KY Other 50022119 PASSPORT
  • KY Other DQ5708 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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