Organization
KENTUCKIANA CENTER FOR BETTER BONE & JOINT HEALTH PLLC
Active
Other names
Kentuckiana Rheumatology
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD MOORE (PRACTICE MANAGER)
(502) 583-5836
Entity
Organization
Contact information
Practice address
100 EAST LIBERTY STREET, SUITE 700, LOUISVILLE, KY 40202-1426
(502) 583-5836
(502) 583-2266
Mailing address
100 E LIBERTY ST STE 700, LOUISVILLE, KY 40202-1439
(502) 583-5836
(502) 583-2266
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RR0500X
Rheumatology Physician
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200322420
—
IN
05
—
65901308
—
KY
05
—
78902145
—
KY
01
—
CG5039
RAILROAD MEDICARE PIN
KY
Enumeration date
11/29/2005
Last updated
02/17/2026
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