Kentucky Vascular Specialists PLLC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

KENTUCKY VASCULAR SPECIALISTS PLLC

Practice address

2000 S Hurstbourne Pkwy
Louisville, KY 40220-4207

Phone

(502) 873-1190

Fax

(502) 785-7493

NPI assigned

Sep 15, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark Rabinovich

Title

Manager

Phone

(818) 880-8605

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1295405835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26500 AGOURA RD STE 102-587",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021952",
            "telephone_number": "818-880-8605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S HURSTBOURNE PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402204207",
            "telephone_number": "502-873-1190",
            "fax_number": "502-785-7493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY VASCULAR SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-15",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "RABINOVICH",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "818-880-8605"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2471V0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Vascular-Interventional Technology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kentucky Psychiatric and Mental Health Serivces, PLLC
• Kentucky Psychiatric Care, PLLC
• Kentucky Recovery Limited Liability Company
• Kentucky Recovery Limited Liability Company
• Kentucky School for the Blind
• Michael Bradley Keough, MD PHD
• Amy M Keown
• Lindsey Danielle Keown, O.D.
• Carolyn Hannah Kephart
• Kristin Kephart, LPCC

• Vascular & Interventional Radiology Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Vascular & Interventional Radiology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.