Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | POD001153 | GA |
N | 222Z00000X | Podiatrist | POD001153 | GA |
Y | 213ES0103X | Foot & Ankle Surgery | 00443 | KY |
NPI | 1063771715 |
---|---|
Provider Name | Carl A. Kihm |
First Address | Louisville, KY 40217-1319 |
Second Address | Louisville, KY 40217-1319 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2012 |
Last Update Date | 02/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000001009954 | ANTHEM (01) | KY |
50107249 | PASSPORT HEALTH PLAN (01) | KY |
7100408080 | (05) | KY |