# KENTUCKY HEART AND VASCULAR SPECIALISTS, PSC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kentucky Heart and Vascular Specialists, PSC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801806963
- **Authorized official:** DR. REDA A EL-SHIKEH M.D. (OWNER)
- **Authorized official phone:** (270) 769-2929

## Contact information

- **Practice address:** 1320 WOODLAND DR, A, ELIZABETHTOWN, KY 42701
- **Practice address phone:** (270) 769-2929
- **Practice address fax:** (270) 769-0344
- **Mailing address:** 1320 WOODLAND DR, A, ELIZABETHTOWN, KY 42701
- **Mailing address phone:** (270) 769-2929
- **Mailing address fax:** (270) 769-0344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 33792 | KY | Yes |

## Other

- **Enumeration date:** 08/09/2006
- **Last updated:** 01/20/2020