Provider Demographics
| NPI: | 1255325304 |
|---|---|
| Name: | CHRISTINE M KLEINERT INSTITUTE FOR HAND & MICRO SURGERY INC |
| Entity type: | Organization |
| Organization Name: | CHRISTINE M KLEINERT INSTITUTE FOR HAND & MICRO SURGERY INC |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | DIRECTOR |
| Authorized Official - Prefix: | DR |
| Authorized Official - First Name: | CHRISTINA |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | KAUFMAN |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | PHD |
| Authorized Official - Phone: | 502-561-4263 |
| Mailing Address - Street 1: | 225 ABRAHAM FLEXNER WAY STE 650 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | LOUISVILLE |
| Mailing Address - State: | KY |
| Mailing Address - Zip Code: | 40202-1888 |
| 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: | SUITE 650 |
| Practice Address - City: | LOUISVILLE |
| Practice Address - State: | KY |
| Practice Address - Zip Code: | 40202-1846 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 502-561-4295 |
| Practice Address - Fax: | 502-562-0348 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2005-09-06 |
| Last Update Date: | 2018-11-27 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
| No | 2086S0105X | Allopathic & Osteopathic Physicians | Surgery | Surgery of the Hand | Group - Multi-Specialty |
| No | 224Z00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | Group - Multi-Specialty | |
| No | 225000000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Orthotic Fitter | Group - Multi-Specialty | |
| No | 2251H1200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Hand | Group - Multi-Specialty |
| No | 2251X0800X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Orthopedic | Group - Multi-Specialty |
| No | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant | 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 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies | Group - Multi-Specialty | |
| No | 332BC3200X | Suppliers | Durable Medical Equipment & Medical Supplies | Customized Equipment | Group - Multi-Specialty |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| KY | 1053564120 | Other | ASSISTANT SURGEON |
| KY | 9889 | Medicare PIN | |
| IN | 233630 | Medicare PIN | |
| KY | 1194230002 | Medicare NSC | |
| KY | 1053564120 | Other | ASSISTANT SURGEON |
| KY | 1780837856 | Other | DME NPI |
| IN | 233630 | Medicare PIN |
