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Contact Information

KENTUCKY HEART INSTITUTE
613 23RD ST
SUITE G-10
ASHLAND, KY41101-2878
 Phone: 606-329-1997
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Clinical Cardiac Electrophysiology

207RC0001X 11 Physician/Internal Medicine
 

Family

363LF0000X 50 Nurse Practitioner
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for KENTUCKY HEART INSTITUTE · (Female)

NPI Number 1053559617
Status Active
Credentials
Entity Individual
Enumeration date 02/04/2009
Last updated 07/26/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • KY License # 6446P
  • KY License # TP119
  • KY Medicaid 7100084230
  • OH Medicaid 2972369
  • WV Medicaid 3810014608
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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