NPI Profile for KENTUCKIANA FOOT ANKLE PLLC in LOUISVILLE, KY.
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 |
| 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 |
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|
| Hospital affiliation(s) | Not Available |
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KENTUCKIANA FOOT & ANKLE PLLC
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