Individual
KEVIN HIMSCHOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 AUDUBON PLAZA DR STE 430, LOUISVILLE, KY 40217-1319
(502) 636-4900
(502) 636-4901
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 272-5395
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
52868
KY
390200000X
Student in an Organized Health Care Education/Training Program
52868
KY
Other
Enumeration date
04/03/2014
Last updated
11/15/2022
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