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NPI Code Detail

MEDICARE: KENTUCKIANA FOOT & ANKLE, PLLC

MEDICARE: KENTUCKIANA FOOT & ANKLE, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies00310KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770820680
Entity Type Code : Organization
Provider Name (Legal Business Name) : KENTUCKIANA FOOT & ANKLE, PLLC
Provider Business Mailing Address
First Line : 6801 DIXIE HWY
Second Line : STE 134
City : LOUISVILLE
State : KY
Zip : 40258-3952
Country : US
Telephone Number : 502-447-4500
Fax Number : 502-449-0108
Provider Business Practice Location Address
First Line : 7397 JEFFERSON BLVD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40219-6178
Country : US
Telephone Number : 502-968-2233
Fax Number :
Authorized Official
Title or Position : OWNER PHYSICIAN
Name : SYED A KHADER
Credential : DPM
Telephone Number : 502-968-2233
Provider Enumeration Date : 01/11/2013
Last Update Date : 07/31/2024

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Directions to “KENTUCKIANA FOOT & ANKLE, PLLC ” Practice Location

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