Provider Demographics
NPI:1053564120
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:SENIOR PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:W
Authorized Official - Last Name:WOLFF
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:502-562-0358
Practice Address - Street 1:3605 NORTHGATE CT
Practice Address - Street 2:SUITE 102
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-6400
Practice Address - Country:US
Practice Address - Phone:812-981-4735
Practice Address - Fax:502-585-0039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-03
Last Update Date:2018-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN332B00000X, 332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN1194230004Medicare NSC