Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sports Medicine Surgical Specialists PLLC

Organization Foot & Ankle Surgery Podiatrist · NPI 1821651852

Sports Medicine Surgical Specialists PLLC is a Foot & Ankle Surgery Podiatrist in Louisville, Kentucky. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

210 E Gray St # 820
Louisville, KY 40202-3900
Phone: (502) 585-3668
Fax: (502) 585-3662
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X

Record details

NPI number1821651852
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keith Myrick — Owner/Authorized Official · (502) 721-8288
Other names Kentuckiana Foot And Ankle Sports Medicine
NPI enumeratedApril 16, 2019
Last updated in NPPESJune 2, 2021
Certification dateJune 2, 2021
Mailing address6400 Dutchmans Pkwy Ste 215, Louisville, KY 40205-3343

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