Provider Demographics
NPI:1427471739
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:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:E
Authorized Official - Last Name:KUTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
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:
Practice Address - Street 1:4642 CHAMBERLAIN LN
Practice Address - Street 2:SUITE 202
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40241-2156
Practice Address - Country:US
Practice Address - Phone:502-562-0344
Practice Address - Fax:502-562-0328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-23
Last Update Date:2018-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1194230005Medicare NSC