KLEINERT KUTZ AND ASSOCIATES HAND CARE CENTER

Provider Demographics

• NPI: 1235123118
• Name: KLEINERT KUTZ AND ASSOCIATES HAND CARE CENTER
• Entity Type: Organization
• Organization Name: KLEINERT KUTZ AND ASSOCIATES HAND CARE CENTER
• Authorized Official - Title/Position: SENIOR PARTNER
• Authorized Official - First Name: JOSEPH
• Authorized Official - Middle Name: E
• Authorized Official - Last Name: KUTZ
• Authorized Official - Credentials: MD
• Authorized Official - Phone: 502-561-4263
• Mailing Address - Street 1: 225 ABRAHAM FLEXNER WAY
• Mailing Address - Street 2: STE 700
• Mailing Address - City: LOUISVILLE
• Mailing Address - State: KY
• Mailing Address - Zip Code: 40202-1846
• Mailing Address - Country: US
• Mailing Address - Phone: 502-561-4263
• Mailing Address - Fax: 502-561-4221
• Practice Address - Street 1: 225 ABRAHAM FLEXNER WAY
• Practice Address - Street 2: STE 700
• Practice Address - City: LOUISVILLE
• Practice Address - State: KY
• Practice Address - Zip Code: 40202-1846
• Practice Address - Country: US
• Practice Address - Phone: 502-561-4263
• Practice Address - Fax: 502-561-4221
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2005-09-07
• Last Update Date: 2019-07-15

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	2086S0105X	Allopathic & Osteopathic Physicians	Surgery	Surgery of the Hand	Group - Multi-Specialty
No	207XS0106X	Allopathic & Osteopathic Physicians	Orthopaedic Surgery	Hand Surgery	Group - Multi-Specialty
No	2082S0105X	Allopathic & Osteopathic Physicians	Plastic Surgery	Surgery of the Hand	Group - Multi-Specialty
No	225100000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist		Group - Multi-Specialty
No	2251H1200X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist	Hand	Group - Multi-Specialty
No	2251S0007X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist	Sports	Group - Multi-Specialty
No	2251X0800X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist	Orthopedic	Group - Multi-Specialty
No	225X00000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapist		Group - Multi-Specialty
No	225XH1200X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapist	Hand	Group - Multi-Specialty
No	225XP0019X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapist	Physical Rehabilitation	Group - Multi-Specialty
No	332B00000X	Suppliers	Durable Medical Equipment & Medical Supplies		Group - Multi-Specialty
No	332BC3200X	Suppliers	Durable Medical Equipment & Medical Supplies	Customized Equipment	Group - Multi-Specialty
No	363A00000X	Physician Assistants & Advanced Practice Nursing Providers	Physician Assistant		Group - Multi-Specialty
No	363AM0700X	Physician Assistants & Advanced Practice Nursing Providers	Physician Assistant	Medical	Group - Multi-Specialty
No	363L00000X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner		Group - Multi-Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
KY	65900599	Medicaid
IN	100356110	Medicaid
KY	0237720001	Medicare NSC
IN	100356110	Medicaid
IN	218440	Medicare ID - Type Unspecified
KY	2644	Medicare ID - Type Unspecified
KY	CI0593	Medicare PIN