Center for Vascular Medicine in LLC

NPI #1194354274 in Greenwood, Indiana

Provider Information

NPI Number: 1194354274
Entity Type: Organization
Organization Name: Center for Vascular Medicine in LLC
Subpart: Yes (part of a larger organization)
Parent Organization: CENTER FOR VASCULAR MEDICINE LLC
Primary Specialty: Specialist
Enumeration Date: Apr 2, 2020
Last Updated: Apr 2, 2020

Practice Location

Address: 33 E COUNTY LINE RD STE D
City: Greenwood
State: Indiana
ZIP Code: 46143-1078
Phone: (301) 486-4690

Authorized Official

Name: RICHARD KENNEDY, PA-C
Title: CHIEF EXECUTIVE OFFICER
Phone: (301) 982-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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