Healthcare Provider Details

I. General information

NPI: 1649034794
Provider Name (Legal Business Name): SKP WOUND CARE OF ALABAMA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2024
Last Update Date: 04/23/2025
Certification Date: 04/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 COUNTY ROAD 314
TOWN CREEK AL
35672-3137
US

IV. Provider business mailing address

9032 MEMORIAL PKWY SW STE A1394
HUNTSVILLE AL
35802-3013
US

V. Phone/Fax

Practice location:
  • Phone: 423-838-4444
  • Fax:
Mailing address:
  • Phone: 888-341-5571
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: STEVEN E KRESS
Title or Position: CEO
Credential:
Phone: 615-393-4477