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General NPI Number Information
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NPI Number | 1588835037
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Entity Type | Organization
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Legal Business Name | VASCULAR INSTITUTE OF KENTUCKY PSC
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Dates
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Enumeration Date | 03/12/2008
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Last Update Date | 07/06/2016
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Provider Practice Location Address
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Address Line | 617 23RD ST STE. 445
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City | ASHLAND
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State | KY
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Zip | 41101-2880
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Country | US
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Telephone | 606-324-1070
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Fax | 606-324-1071
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Provider Business Mailing Address
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Address Line | PO BOX 2058
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City | ASHLAND
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State | KY
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Zip | 41105-2058
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Country | US
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Telephone | 606-324-1070
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Fax | 606-324-1071
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALEXANDER H HOU
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Credential | MD
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Telephone | 606-324-1070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3009186
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 39066
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License Number State | KY
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