Healthcare Provider Details

I. General information

NPI: 1306736632
Provider Name (Legal Business Name): KANSAS WOUND THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2025
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15315 W 191ST ST
SPRING HILL KS
66083-8482
US

IV. Provider business mailing address

15315 W 191ST ST
SPRING HILL KS
66083-8482
US

V. Phone/Fax

Practice location:
  • Phone: 913-787-2916
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL JOSEPH MUSEOUSKY
Title or Position: CEO
Credential: MD
Phone: 918-592-9020