# PRECISION VASCULAR KENTUCKY LLC

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

## Provider details

- **NPI number:** 1396448858
- **Authorized official:** RANDAL JEAN-BAPTISTE (OWNER)
- **Authorized official phone:** (917) 208-5856

## Contact information

- **Practice address:** 1809 INTEGRITY WAY UNIT 207, LOUISVILLE, KY 40220-3868
- **Practice address phone:** (718) 916-9114
- **Mailing address:** 1809 INTEGRITY WAY UNIT 207, LOUISVILLE, KY 40220-3868

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/23/2023
- **Last updated:** 03/23/2023