Individual
SCOTT D KUIPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4130 DUTCHMANS LN STE 300, LOUISVILLE, KY 40207-4710
(502) 897-1794
(502) 897-3852
Mailing address
4130 DUTCHMANS LN STE 300, LOUISVILLE, KY 40207-4710
(502) 897-1794
(502) 897-3852
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
30401
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000045605
ANTHEM
—
05
—
100384250
—
IN
01
—
2233672001
CIGNA
—
01
—
4516831
AETNA
—
05
—
64304017
—
KY
05
—
64982481
—
KY
Enumeration date
11/02/2005
Last updated
12/11/2023
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