Healthcare Provider Details

I. General information

NPI: 1053564120
Provider Name (Legal Business Name): CHRISTINE M. KLEINERT INSTITUTE FOR HAND & MICRO SURGERY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2008
Last Update Date: 04/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3605 NORTHGATE CT SUITE 102
NEW ALBANY IN
47150-6400
US

IV. Provider business mailing address

225 ABRAHAM FLEXNER WAY STE 650
LOUISVILLE KY
40202-1888
US

V. Phone/Fax

Practice location:
  • Phone: 812-981-4735
  • Fax: 502-585-0039
Mailing address:
  • Phone: 502-561-4263
  • Fax: 502-562-0358

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number StateIN

VIII. Authorized Official

Name: DR. THOMAS W WOLFF
Title or Position: SENIOR PARTNER
Credential: MD
Phone: 502-561-4263