Individual
VICTORIA IVANUKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1532 LONE OAK RD STE 405, PADUCAH, KY 42003-7942
(270) 441-4300
(270) 441-4370
Mailing address
1035 SOUTHCREST DR, STE 250, STOCKBRIDGE, GA 30281-6117
(770) 996-9945
(844) 269-9596
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
04487
KY
2086S0129X
Vascular Surgery Physician
076643
GA
Other
Enumeration date
01/07/2010
Last updated
03/22/2019
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