NEW SOURCE MEDICAL, LLC
NPI 1700425816
Podiatrist in Louisville, KY

Active since January 06, 2020
9913 SHELBYVILLE RD STE 203, LOUISVILLE, KY 40223(502) 261-0050 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 7, 2026, Oct 6, 2020, Jan 7, 2020 (3 updates tracked since 2020).

About New Source Medical, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEW SOURCE MEDICAL, LLC (NPI 1700425816) is a healthcare organization registered as a podiatrist in Louisville, Kentucky and active in the NPI registry since January 2020. The organization lists Kevin A Mckim, Ceo, as its authorized official.

NPPES Registry Identity

NPI1700425816
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameNEW SOURCE MEDICAL, LLC
Location Address9913 SHELBYVILLE RD STE 203Louisville, KY 40223-2907
Mailing Address9913 Shelbyville Rd Ste 203Louisville, KY 40223-2907 · (502) 261-0050
Organization SubpartNo
Authorized OfficialKevin A MckimCeo · (502) 261-0050
Enumeration DateJanuary 6, 2020
Last NPPES UpdateApril 7, 20263 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
NPI 1700425816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
9913 SHELBYVILLE RD STE 203, Louisville, KY 40223

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is New Source Medical, LLC's NPI number?

The NPI number for New Source Medical, LLC is 1700425816. It was assigned to this organization in the NPPES registry on January 6, 2020.

Where is New Source Medical, LLC located?

New Source Medical, LLC is located at 9913 Shelbyville Rd Ste 203, Louisville, KY 40223. The listed phone number is (502) 261-0050.

What is New Source Medical, LLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for New Source Medical, LLC was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.