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Tri-state Vascular Group, Psc
Specialist in Ashland, Kentucky
NPI 1649217910

Tri-state Vascular Group, Psc is a Specialist based in Ashland, KY. Tri-state Vascular Group, Psc practices in Ashland, KY. The NPI Number for Tri-state Vascular Group, Psc is 1649217910 and holds a License No. 40007 (Kentucky).

The current practice location address for Tri-state Vascular Group, Psc is 2301 Lexington Ave, Ashland, KY and can be reached out via phone at 606-326-1675 and via fax at 606-326-1436.

Location: 2301 Lexington Ave, Ashland, KY, 41105-0149
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649217910
Provider Name
Tri-state Vascular Group, Psc
Credential
Provider Entity Type
Organization
Address
2301 Lexington Ave, Ashland, KY, 41105-0149
Phone Number
606-326-1675
Fax Number
606-326-1436
Provider Enumeration Date
06/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000484792 01 KY BLUE CROSS BLUE SHIELD
7499265 01 KY AETNA
65945495 05 KY
2645436 05 OH
DF0183 01 KY MEDICARE RR
institution
Provider Business Practice Location Address Details
Address
2301 Lexington Ave
City
Ashland
State
Kentucky
Zip
41101-2873
Phone Number
606-326-1675
Fax Number
606-326-1436
person
Provider Business Mailing Address Details
Address
2301 Lexington Ave
City
Ashland
State
Kentucky
Zip
41101-2873
Phone Number
606-326-1675
Fax Number
606-326-1436
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
40007 (Kentucky)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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