Provider Demographics
NPI:1922081546
Name:KENTUCKIANA CENTER FOR BETTER BONE & JOINT HEALTH, PLLC
Entity Type:Organization
Organization Name:KENTUCKIANA CENTER FOR BETTER BONE & JOINT HEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:H
Authorized Official - Last Name:STERN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:502-583-5836
Mailing Address - Street 1:100 E LIBERTY ST
Mailing Address - Street 2:SUITE 700
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-1426
Mailing Address - Country:US
Mailing Address - Phone:502-583-5836
Mailing Address - Fax:502-583-2266
Practice Address - Street 1:100 EAST LIBERTY STREET
Practice Address - Street 2:SUITE 700
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-1426
Practice Address - Country:US
Practice Address - Phone:502-583-5836
Practice Address - Fax:502-583-2266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-29
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200322420Medicaid
KY65901308Medicaid
KY78902145Medicaid
KYCG5039OtherRAILROAD MEDICARE PIN
IN200322420Medicaid
IN217340Medicare PIN