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Organization
KENTUCKIANA FOOT & ANKLE PLLC
Active
Organization
KENTUCKIANA FOOT & ANKLE PLLC
Active
Other names
Kentucky/Indiana Foot and Ankle Specialist
Organization subpart
No
Provider details
NPI number
Authorized official
SYED A KHADER DPM (OWNER PHYSICIAN)
(502) 968-2233
Entity
Organization
Contact information
Practice address
7397 JEFFERSON BLVD, LOUISVILLE, KY 40219-6178
(502) 805-3338
(502) 805-7149
Mailing address
7397 JEFFERSON BLVD, LOUISVILLE, KY 40219-6178
(614) 446-8175
(614) 665-7624
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
225100000X
Physical Therapist
—
—
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000590059
ANTHEM
IN
05
—
200918130A
—
IN
01
—
50022119
PASSPORT
KY
05
—
7100061090
—
KY
01
—
DO1639
RAILROAD MEDICARE
IN
01
—
DQ5708
RAILROAD MEDICARE
KY
Enumeration date
09/29/2008
Last updated
11/13/2025
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