Bluegrass Wound Care of Ohio LLC
NPI #1164228417 in Portsmouth, Ohio
Provider Information
- NPI Number
- 1164228417
- Entity Type
- Organization
- Organization Name
- Bluegrass Wound Care of Ohio LLC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Feb 19, 2025
- Last Updated
- Feb 27, 2025
Practice Location
- Address
- 524 2ND ST
- City
- Portsmouth
- State
- Ohio
- ZIP Code
- 45662-3809
- Phone
- (205) 285-1642
Authorized Official
- Name
- KENNETH CHAMBLEE
- Title
- AUTHORIZED OFFICIAL
- Phone
- (205) 285-1642
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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