# M&M VASCULAR TECHNOLOGIES, LLC

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

## Provider details

- **NPI number:** 1477881399
- **Authorized official:** PATRICK E MUCK MD (OWNER)
- **Authorized official phone:** (859) 653-9584

## Contact information

- **Practice address:** 2510 LEGENDS WAY, CRESTVIEW HILLS, KY 41017-2370
- **Practice address phone:** (859) 653-9584
- **Practice address fax:** (859) 586-7740
- **Mailing address:** PO BOX 857, BURLINGTON, KY 41005-0857
- **Mailing address phone:** (859) 653-9584
- **Mailing address fax:** (859) 586-7740

## Taxonomy

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

## Other

- **Enumeration date:** 12/04/2009
- **Last updated:** 12/04/2009