# VASCULAR INSTITUTE OF KENTUCKY PSC

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

## Provider details

- **NPI number:** 1588835037
- **Authorized official:** ALEXANDER H HOU MD (PRESIDENT)
- **Authorized official phone:** (606) 324-1070

## Contact information

- **Practice address:** 617 23RD ST, STE. 445, ASHLAND, KY 41101-2880
- **Practice address phone:** (606) 324-1070
- **Practice address fax:** (606) 324-1071
- **Mailing address:** PO BOX 2058, ASHLAND, KY 41105-2058
- **Mailing address phone:** (606) 324-1070
- **Mailing address fax:** (606) 324-1071

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 39066 | KY | Yes |
| 363LF0000X | Family Nurse Practitioner | 3009186 | KY | — |

## Other

- **Enumeration date:** 03/12/2008
- **Last updated:** 07/06/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000392596 | ANTHEM BCBS | — |
| 05 | — | 2557255 | — | OH |
| 05 | — | 3810007120 | — | WV |
| 05 | — | 64100548 | — | KY |
| 01 | — | 9966 | FEDERAL MEDICARE GROUP | — |
| 01 | — | P00335402 | RR MEDICARE | — |