- Practice location
- 60 Phillips Branch RD, Phelps, KY 41553-9061
- Phone
- 718-963-3495
- Fax
- —
- Last updated
- December 29, 2022
Integrated Wound Care Kentucky PLLC is a healthcare organization based in Phelps, KY. Integrated Wound Care Kentucky PLLC practices in Phelps, KY. The NPI Number for Integrated Wound Care Kentucky PLLC is 1144970641. The current practice location address for Integrated Wound Care Kentucky PLLC is 60 Phillips Branch RD, Phelps, KY 41553-9061 and can be reached out via phone at 718-963-3495.
Provider Profile Details
- NPI Number
- 1144970641
- Provider Name
- Integrated Wound Care Kentucky PLLC
- Provider Entity Type
- Organization
- Address
- 60 Phillips Branch RD, Phelps, KY 41553-9061
- Phone Number
- 718-963-3495
- Primary Taxonomy
- Nurse Practitioner, Primary Care · 363LP2300X
- Organization Subpart
- No
- Authorized Official
- Dr. Diane Lusas, MD · Member · 718-963-3495
- Provider Enumeration Date
- March 27, 2022
- Last Update Date
- December 29, 2022
- Certification Date
- December 29, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 60 Phillips Branch RD
Phelps, KY 41553-9061 - City
- Phelps
- State
- Kentucky
- Zip
- 41553-9061
- Phone Number
- 718-963-3495
Provider Business Mailing Address Details
- Address
- 492C Cedar Ln Ste 514
Teaneck, NJ 07666-1713 - City
- Teaneck
- State
- NJ
- Zip
- 07666-1713
License Information
- Taxonomy (1)
- General Practice · 208D00000X
- Taxonomy (2)
- Nurse Practitioner, Primary Care · 363LP2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Primary Care providers near Phelps, KY
View all Nurse Practitioner, Primary Care providers in Phelps →Frequently Asked Questions
What is the NPI number of Integrated Wound Care Kentucky PLLC?
The NPI number of Integrated Wound Care Kentucky PLLC is 1144970641. It was assigned on March 27, 2022 and is currently active in the NPPES registry.
What is the specialty of Integrated Wound Care Kentucky PLLC?
Integrated Wound Care Kentucky PLLC is registered under the primary taxonomy Nurse Practitioner, Primary Care (code 363LP2300X).
Where does Integrated Wound Care Kentucky PLLC practice?
The practice location is 60 Phillips Branch RD, Phelps, KY 41553-9061. The office can be reached at 718-963-3495 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144970641 directly on the NPPES registry website.