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Organization

KENTUCKIANA FOOT & ANKLE, PLLC

Active
Parent organization
KENTUCKIANA FOOT & ANKLE, PLLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
KENTUCKIANA FOOT & ANKLE, PLLC
Authorized official
SYED ABDUL KHADER (OWNER)
(502) 533-9071
Entity
Organization

Contact information

Practice address
1938 LYDA AVE, BOWLING GREEN, KY 42104-3326
(270) 796-6160
Mailing address
6801 DIXIE HWY STE 134, LOUISVILLE, KY 40258-3952
(502) 805-3338

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
04/25/2025
Last updated
05/21/2026
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