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General NPI Number Information
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NPI Number | 1649034794
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Entity Type | Organization
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Legal Business Name | SKP WOUND CARE OF ALABAMA LLC
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Dates
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Enumeration Date | 02/09/2024
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 145 COUNTY ROAD 314
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City | TOWN CREEK
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State | AL
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Zip | 35672-3137
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Country | US
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Telephone | 423-838-4444
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Fax |
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Provider Business Mailing Address
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Address Line | 9032 MEMORIAL PKWY SW STE A1394
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City | HUNTSVILLE
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State | AL
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Zip | 35802-3013
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Country | US
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Telephone | 888-341-5571
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | STEVEN E KRESS
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Credential |
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Telephone | 615-393-4477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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