Organization
NEW SOURCE MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN A MCKIM (CEO)
(502) 261-0050
Entity
Organization
Contact information
Practice address
9913 SHELBYVILLE RD STE 203, LOUISVILLE, KY 40223-2907
(502) 261-0050
Mailing address
9913 SHELBYVILLE RD STE 203, LOUISVILLE, KY 40223-2907
(502) 261-0050
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
01/06/2020
Last updated
04/07/2026
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