Organization
PADUCAH VASCULAR INSTITUTE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT SANDERS MD (OWNER)
(270) 845-4300
Entity
Organization
Contact information
Practice address
2419 NEW HOLT RD, PADUCAH, KY 42001-7455
(270) 845-4300
(270) 845-4301
Mailing address
2419 NEW HOLT RD, PADUCAH, KY 42001-7455
(270) 845-4300
(270) 845-4301
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
02/24/2022
Last updated
11/14/2024
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