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SOUTHERN KENTUCKY VASCULAR CLINIC PLLC NPI 1760111553


NPI Information

NPI: 1760111553
Provider Name: SOUTHERN KENTUCKY VASCULAR CLINIC PLLC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
50 MEDPARK SQUARE DR STE 3
SOMERSET, KY
ZIP 42503
Phone: (606) 531-4100
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SOUTHERN KENTUCKY VASCULAR CLINIC PLLC is a vascular surgery surgery in Somerset, KY. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. SOUTHERN KENTUCKY VASCULAR CLINIC PLLC NPI is 1760111553. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

50 MEDPARK SQUARE DR STE 3
SOMERSET, KY
ZIP 42503-708
Phone: (606) 531-4100
Fax: (606) 220-2116

The provider's authorized official is Donald W. Brown .
The authorized official title is Physician/owner and has the following contact phone number (270) 392-9746.

The enumeration date for this NPI number is 6/7/2022 and was last updated on 1/26/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyNo
22086S0129XSurgeryVascular SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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