National Provider Identifier Database

KENTUCKIANA FOOT ANKLE PLLC
Surgery, Foot & Ankle


Contact Information

KENTUCKIANA FOOT & ANKLE PLLC
7397 JEFFERSON BLVD
LOUISVILLE, KY40219-6178
Phone: 502-805-3338
Fax: 502-805-7149
Website:
Specialty Taxonomy Code
* Surgery, Foot & Ankle 213ES0103X
Durable Medical Equipment & Medical Supplies 332B00000X
Infectious Disease 207RI0200X
Magnetic Resonance Imaging (MRI) 261QM1200X
Orthopaedic Surgery 207X00000X
Physical Therapist 225100000X

* Indicates primary specialty

NPI Profile & details for KENTUCKIANA FOOT & ANKLE PLLC

NPI Number 1114177979
Legal business name
LBN
KENTUCKIANA FOOT & ANKLE PLLC
Authorized official SYED KHADER - (OWNER PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 09/29/2008
Last updated 11/13/2025 - About 7 months ago
Sole proprietor1 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

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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