# VASCULAR SPECIALISTS,PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** surgical group psc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043248859
- **Authorized official:** KRISTIE STUBER (CODER)
- **Authorized official phone:** (270) 441-4376

## Contact information

- **Practice address:** 225 MEDICAL CENTER DR, SUITE 208R, PADUCAH, KY 42003-7914
- **Practice address phone:** (270) 441-4300
- **Practice address fax:** (270) 441-4370
- **Mailing address:** PO BOX 7329, PADUCAH, KY 42002-7329
- **Mailing address phone:** (270) 441-4300
- **Mailing address fax:** (270) 441-4370

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | Yes |
| 174400000X | Specialist | — | — | Yes |

## Other

- **Enumeration date:** 06/29/2006
- **Last updated:** 05/07/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 65945537 | — | KY |