# THORACIC & VASCULAR ASSOCIATES, P.S.C.

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

## Provider details

- **NPI number:** 1619909298
- **Authorized official:** MARTIN SHEHAN (ADMINISTRATOR)
- **Authorized official phone:** (502) 583-9565

## Contact information

- **Practice address:** 201 ABRAHAM FLEXNER WAY, SUITE 1004, LOUISVILLE, KY 40202-3841
- **Practice address phone:** (502) 589-3173
- **Practice address fax:** (502) 589-6751
- **Mailing address:** 201 ABRAHAM FLEXNER WAY, SUITE 1004, LOUISVILLE, KY 40202-3841
- **Mailing address phone:** (502) 589-3173
- **Mailing address fax:** (502) 589-6751

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | Yes |
| 174400000X | Specialist | — | — | Yes |

## Other

- **Enumeration date:** 07/06/2006
- **Last updated:** 01/29/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 65929234 | — | KY |