# KENTUCKY VASCULAR SPECIALISTS PLLC

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

## Provider details

- **NPI number:** 1295405835
- **Authorized official:** MARK RABINOVICH (MANAGER)
- **Authorized official phone:** (818) 880-8605

## Contact information

- **Practice address:** 2000 S HURSTBOURNE PKWY, LOUISVILLE, KY 40220-4207
- **Practice address phone:** (502) 873-1190
- **Practice address fax:** (502) 785-7493
- **Mailing address:** 26500 AGOURA RD STE 102-587, CALABASAS, CA 91302-1952
- **Mailing address phone:** (818) 880-8605

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |
| 2471V0106X | Vascular-Interventional Technology Radiologic Technologist | — | NULL | — |
| 2471V0106X | Vascular-Interventional Technology Radiologic Technologist | — | — | — |

## Other

- **Enumeration date:** 09/15/2021
- **Last updated:** 02/28/2023