Organization
LOUISVILLE ORTHOPAEDIC CLINIC & SPORTS REHABILITATION CENTER PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT D KUIPER MD (MD)
(502) 897-1794
Entity
Organization
Contact information
Practice address
4130 DUTCHMANS LN STE 300, LOUISVILLE, KY 40207-4710
(502) 897-1794
(502) 897-3852
Mailing address
4130 DUTCHMANS LN, SUITE 300, LOUISVILLE, KY 40207-4710
(502) 897-1794
(502) 897-3852
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XX0801X
Orthopaedic Trauma Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
225X00000X
Occupational Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100384780A
—
IN
05
—
201294280A
—
IN
05
—
300012071
—
IN
05
—
300073416
—
IN
05
—
65933426
—
KY
05
—
7100109060
—
KY
05
—
7100109080
—
KY
05
—
7100145820
—
KY
05
—
7100766690
—
KY
05
—
7100915370
—
KY
05
—
90135567
—
KY
Enumeration date
08/29/2006
Last updated
02/22/2024
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