Organization
PRECISION VASCULAR KENTUCKY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDAL JEAN-BAPTISTE (OWNER)
(917) 208-5856
Entity
Organization
Contact information
Practice address
1809 INTEGRITY WAY UNIT 207, LOUISVILLE, KY 40220-3868
(718) 916-9114
Mailing address
1809 INTEGRITY WAY UNIT 207, LOUISVILLE, KY 40220-3868
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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