Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southern Kentucky Vascular Procedure Center, PLLC

Organization Vascular Surgery Physician · NPI 1720713506

Southern Kentucky Vascular Procedure Center, PLLC is a Vascular Surgery Physician 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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