Kentuckiana Foot & Ankle PLLC
Durable Medical Equipment & Medical Supplies in Bardstown, KY. Organization (NPI-2).
NPI number1154808798
StatusActive
Last updated in NPPESDec 22, 2023
Details
- NPI
- 1154808798
- Entity type
- Organization (NPI-2)
- Legal business name
- Kentuckiana Foot & Ankle PLLC
- Organization subpart
- No
- Enumeration date
- Jul 26, 2018
- Certification date
- Oct 14, 2021
- Last updated
- Dec 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Other names
- Tipton & Unroe Foot And Ankle Care INC. (Doing Business As)
Practice location
900 Chambers BlvdBardstown, KY 40004-2527
Phone 502-331-6307 · Fax 502-331-6309
Mailing address
6801 Dixie HwySte 134
Louisville, KY 40258-3952
Phone 502-850-2447 · Fax 502-449-0108
Authorized official
Syed A Khader
Owner Physician
5029682233
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