Healthcare Provider Details

I. General information

NPI: 1922081546
Provider Name (Legal Business Name): KENTUCKIANA CENTER FOR BETTER BONE & JOINT HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2005
Last Update Date: 04/24/2023
Certification Date: 04/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 EAST LIBERTY STREET SUITE 700
LOUISVILLE KY
40202-1426
US

IV. Provider business mailing address

100 E LIBERTY ST SUITE 700
LOUISVILLE KY
40202-1426
US

V. Phone/Fax

Practice location:
  • Phone: 502-583-5836
  • Fax: 502-583-2266
Mailing address:
  • Phone: 502-583-5836
  • Fax: 502-583-2266

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State

VIII. Authorized Official

Name: STEVEN H. STERN
Title or Position: PHYSICIAN/OWNER
Credential: MD
Phone: 502-583-5836