Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Southern Kentucky Vascular Procedure Center, PLLC

Organization Vascular Surgery Physician · NPI 1720713506

Southern Kentucky Vascular Procedure Center, PLLC provides Vascular Surgery Physician services in Somerset, Kentucky. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

50 Medpark Dr Ste 2
Somerset, KY 42503-4730
Phone: (606) 531-4100
Fax: (606) 220-2116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X

Record details

NPI number1720713506
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tanner Brown — Administrator · (270) 535-7686
NPI enumeratedJuly 18, 2022
Last updated in NPPESJuly 22, 2026
Certification dateJuly 22, 2026
Mailing address50 Medpark Dr Ste 2, Somerset, KY 42503-4730

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