Southern Kentucky Vascular Procedure Center, PLLC
NPI 1720713506ActiveOrganization· Surgery, Vascular Surgery· Somerset, KY
Surgery, Vascular Surgery in Somerset, Kentucky, registered in NPPES in July 2022. The authorized official on file is Tanner Brown, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1720713506 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 18, 2022 |
| Last updated in NPPES | Jul 22, 2026 |
| Certified by provider | Jul 22, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (KY) |
|---|
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