Organization · Type 2 NPI

Kentuckiana Foot & Ankle PLLC

Foot & Ankle Surgery Podiatrist · Louisville, KY

NPI number 1114177979 Active

Practice location

7397 Jefferson Blvd
Louisville, KY 40219-6178

Fax (502) 805-7149

Specialties and licenses

TaxonomyCodeLicense
Infectious Disease Physician 207RI0200XNone listed
Orthopaedic Surgery Physician 207X00000XNone listed
Foot & Ankle Surgery Podiatrist Primary 213ES0103XNone listed
Physical Therapist 225100000XNone listed
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200XNone listed
Durable Medical Equipment & Medical Supplies 332B00000XNone listed

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About NPI 1114177979

Kentuckiana Foot & Ankle PLLC's National Provider Identifier is 1114177979, issued on Sep 29, 2008. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Louisville, KY. The record was last updated on Nov 13, 2025.