Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Kentuckiana Pain Specialist Ambulatory Surgery Center

Organization Specialist · NPI 1083124366

Kentuckiana Pain Specialist Ambulatory Surgery Center provides Specialist services in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2017.

Licensed in
KY
In the registry since
2017
Specialties on file
3

Practice location Address checks out

3710 Chamberlain Ln Ste B
Louisville, KY 40241-2002
Phone: (502) 995-4004
Fax: (502) 933-5559
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X
Specialist Taxonomy 174400000X · Licence KY36217 (KY)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1083124366
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ajith Nair — Medical Director · (502) 995-4004
Other names Kps Ambulatory Surgery Center
NPI enumeratedOctober 2, 2017
Last updated in NPPESOctober 21, 2021
Certification dateOctober 21, 2021
Mailing addressPo Box 24321, Louisville, KY 40224-0321

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