# PADUCAH VASCULAR INSTITUTE PLLC

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

## Provider details

- **NPI number:** 1659027043
- **Authorized official:** SCOTT SANDERS MD (OWNER)
- **Authorized official phone:** (270) 845-4300

## Contact information

- **Practice address:** 2419 NEW HOLT RD, PADUCAH, KY 42001-7455
- **Practice address phone:** (270) 845-4300
- **Practice address fax:** (270) 845-4301
- **Mailing address:** 2419 NEW HOLT RD, PADUCAH, KY 42001-7455
- **Mailing address phone:** (270) 845-4300
- **Mailing address fax:** (270) 845-4301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |
| 363AM0700X | Medical Physician Assistant | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 02/24/2022
- **Last updated:** 11/14/2024