Healthcare Provider Details

I. General information

NPI: 1316537533
Provider Name (Legal Business Name): LOUISVILLE HIP AND KNEE INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2021
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3810 SPRINGHURST BLVD
LOUISVILLE KY
40241-6162
US

IV. Provider business mailing address

3810 SPRINGHURST BLVD STE 310
LOUISVILLE KY
40241-6162
US

V. Phone/Fax

Practice location:
  • Phone: 502-905-0695
  • Fax:
Mailing address:
  • Phone: 502-905-0695
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DENISE E KIRKHAM
Title or Position: EXECUTIVE DIRECTOR/CONSULTANT
Credential:
Phone: 502-905-0695