Organization
KENTUCKY HEART INSTITUTE
Active
Parent organization
KENTUCKY HEART INSTITUTE
Other names
Comprehensive Heart & Vascular Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
KENTUCKY HEART INSTITUTE
Authorized official
SARA MARKS (ADMINISTRATOR)
(606) 324-4745
Entity
Organization
Contact information
Practice address
613 23RD ST, SUITE G-10, ASHLAND, KY 41101-2878
(606) 329-1997
Mailing address
PO BOX 1237, ASHLAND, KY 41105-1237
(606) 329-1997
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
2086S0129X
Vascular Surgery Physician
TP119
KY
363LF0000X
Family Nurse Practitioner
6446P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2972369
—
OH
05
—
3810014608
—
WV
05
—
7100084230
—
KY
Enumeration date
02/04/2009
Last updated
07/26/2010
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