Healthcare Provider Details

I. General information

NPI: 1952072043
Provider Name (Legal Business Name): KLEINERT KUTZ AND ASSOCIATES HAND CARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2021
Last Update Date: 09/28/2021
Certification Date: 09/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 FOUNTAIN CT STE 375
LEXINGTON KY
40509-2171
US

IV. Provider business mailing address

225 ABRAHAM FLEXNER WAY STE 700
LOUISVILLE KY
40202-3868
US

V. Phone/Fax

Practice location:
  • Phone: 859-264-9606
  • Fax:
Mailing address:
  • Phone: 502-561-4263
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: SHANNON M BASS
Title or Position: MANAGER
Credential:
Phone: 502-562-0398