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NPI Code Detail

MEDICARE: UNITED WOUNDCARE INSTITUTE KENTUCKY PLLC

MEDICARE: UNITED WOUNDCARE INSTITUTE KENTUCKY PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208M00000XHospitalist Physician

General Provider Information

NPI Number : 1568288553
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNITED WOUNDCARE INSTITUTE KENTUCKY PLLC
Provider Business Mailing Address
First Line : PO BOX 809149
Second Line :
City : CHICAGO
State : IL
Zip : 60680-9149
Country : US
Telephone Number : 248-607-0037
Fax Number : 734-462-0344
Provider Business Practice Location Address
First Line : 3499 BLAZER PKWY STE 330
Second Line :
City : LEXINGTON
State : KY
Zip : 40509-2828
Country : US
Telephone Number : 888-402-0202
Fax Number : 888-860-2960
Authorized Official
Title or Position : DIRECTOR OF REVENUE
Name : KIMBERLY MILLER
Credential :
Telephone Number : 248-331-7908
Provider Enumeration Date : 11/25/2024
Last Update Date : 01/14/2025

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Directions to “UNITED WOUNDCARE INSTITUTE KENTUCKY PLLC ” Practice Location

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