KPS Suites, LLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

KPS SUITES, LLC

Practice address

2831 S Hurstbourne Pkwy
Ste a
Louisville, KY 40220-4112

Phone

(502) 995-4004

NPI assigned

Oct 24, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ajith Nair, M.D.

Title

Ceo

Phone

(502) 995-4004

Specialties & licenses 1

Addresses

Other names 1

• K.S.A. Holdings LLC Other name

Tax ID family

KPS Suites LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• KPS Suites, LLC

  • Ambulatory Surgical Clinic/Center
  • Louisville, KY
  • NPI 1720022403
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1700960200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24321",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402240321",
            "telephone_number": "502-995-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 S HURSTBOURNE PKWY",
            "address_2": "STE A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402204112",
            "telephone_number": "502-995-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KPS SUITES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "NAIR",
        "authorized_official_first_name": "AJITH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "502-995-4004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "K.S.A. Holdings LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stephanie M Kozacka, LCSW
• Kristen Kozenski
• Gerald Bernard Koziej, D.C.
• Deborah Kozik, DO
• Jacqueline A Kozinski, RN, IBCLC
• KPS Suites, LLC
• Abigail Krabacher, PHARMD, BCACP
• Jamie Kraemer
• Jean Kraemer
• Laura Michele Kraemer, CRNA

• Pain Clinic/Center in Louisville, KY
• Providers in Louisville, KY by specialty
• Pain Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.