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General NPI Number Information
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NPI Number | 1619646338
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Entity Type | Organization
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Legal Business Name | KENTUCKIANA FOOT & ANKLE, PLLC
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Dates
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Enumeration Date | 09/07/2021
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 2805 N HURSTBOURNE PKWY STE 105
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City | LOUISVILLE
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State | KY
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Zip | 40223-1285
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Country | US
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Telephone | 502-243-3668
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Fax | 502-243-4745
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Provider Business Mailing Address
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Address Line | 2805 N HURSTBOURNE PKWY STE 105
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City | LOUISVILLE
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State | KY
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Zip | 40223-1285
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Country | US
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Telephone | 502-243-3668
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Fax | 502-243-4745
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Authorized Official
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Title or Position | OWNER
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Name | SYED ABDUL KHADER
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Credential |
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Telephone | 812-725-7542
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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