# HEART, LUNG, AND VASCULAR SURGERY, PSC

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

## Provider details

- **NPI number:** 1942233366
- **Authorized official:** JOHN C POWELL MD (PRESIDENT)
- **Authorized official phone:** (937) 479-6999

## Contact information

- **Practice address:** 2737 GREENBACK RD, UTICA, KY 42376-9742
- **Practice address phone:** (937) 479-6999
- **Mailing address:** 2737 GREENBACK RD, UTICA, KY 42376-9742
- **Mailing address phone:** (937) 479-6999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 29420 | KY | Yes |

## Other

- **Enumeration date:** 07/09/2006
- **Last updated:** 08/22/2020