Organization
KENTUCKY HEART AND VASCULAR SPECIALISTS, PSC
Active
Other names
Kentucky Heart and Vascular Specialists, PSC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REDA A EL-SHIKEH M.D. (OWNER)
(270) 769-2929
Entity
Organization
Contact information
Practice address
1320 WOODLAND DR, A, ELIZABETHTOWN, KY 42701
(270) 769-2929
(270) 769-0344
Mailing address
1320 WOODLAND DR, A, ELIZABETHTOWN, KY 42701
(270) 769-2929
(270) 769-0344
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
33792
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64337926
—
KY
Enumeration date
08/09/2006
Last updated
01/20/2020
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