# SOUTHERN KENTUCKY VASCULAR ASC PLLC

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

## Provider details

- **NPI number:** 1598525289
- **Authorized official:** TANNER BROWN (ADMINISTRATOR)
- **Authorized official phone:** (270) 535-7686

## Contact information

- **Practice address:** 50 MEDPARK SQUARE DR STE 2, SOMERSET, KY 42503-1708
- **Practice address phone:** (606) 451-4100
- **Practice address fax:** (606) 220-2116
- **Mailing address:** 50 MEDPARK SQUARE DR STE 2, SOMERSET, KY 42503-1708
- **Mailing address phone:** (606) 451-4100
- **Mailing address fax:** (606) 220-2116

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/20/2024
- **Last updated:** 07/22/2026