# KENTUCKY HEART CARE, PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154483097
- **Authorized official:** HIMACHAL VELIGANDLA M.D. (PRACTICE OWNER)
- **Authorized official phone:** (606) 325-0011

## Contact information

- **Practice address:** 2301 LEXINGTON AVE, SUITE 100, ASHLAND, KY 41101-2873
- **Practice address phone:** (606) 547-1010
- **Mailing address:** 2301 LEXINGTON AVE, SUITE 100, ASHLAND, KY 41101-2873

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 40110 | KY | Yes |

## Other

- **Enumeration date:** 12/15/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000492275 | ANTHEM BLUE CROSS | KY |