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NPI Code Detail

MEDICARE: KLEINERT KUTZ SURGERY CENTER, LLC

MEDICARE: KLEINERT KUTZ SURGERY CENTER, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA1903XAmbulatory Surgical Clinic/Center008508IN

General Provider Information

NPI Number : 1841284742
Entity Type Code : Organization
Provider Name (Legal Business Name) : KLEINERT KUTZ SURGERY CENTER, LLC
Provider Business Mailing Address
First Line : 225 ABRAHAM FLEXNER WAY
Second Line : STE 700
City : LOUISVILLE
State : KY
Zip : 40202-1846
Country : US
Telephone Number : 502-561-4263
Fax Number : 502-561-4221
Provider Business Practice Location Address
First Line : 3605 NORTHGATE CT
Second Line : STE 101
City : NEW ALBANY
State : IN
Zip : 47150-6400
Country : US
Telephone Number : 812-944-4263
Fax Number : 812-944-1166
Authorized Official
Title or Position : SENIOR PARTNER
Name : THOMAS W WOLFF
Credential : M.D.
Telephone Number : 502-561-4263
Provider Enumeration Date : 09/07/2005
Last Update Date : 11/28/2016

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Directions to “KLEINERT KUTZ SURGERY CENTER, LLC ” Practice Location

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