Organization
KENTUCKY VASCULAR SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK RABINOVICH (MANAGER)
(818) 880-8605
Entity
Organization
Contact information
Practice address
2000 S HURSTBOURNE PKWY, LOUISVILLE, KY 40220-4207
(502) 873-1190
(502) 785-7493
Mailing address
26500 AGOURA RD STE 102-587, CALABASAS, CA 91302-1952
(818) 880-8605
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
2471V0106X
Vascular-Interventional Technology Radiologic Technologist
—
—
Other
Enumeration date
09/15/2021
Last updated
02/28/2023
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