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NPI Code Detail

MEDICARE: AMERICAN WOUND CARE KY PLLC

MEDICARE: AMERICAN WOUND CARE KY 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
1163WW0000XWound Care Registered Nurse

General Provider Information

NPI Number : 1811727506
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMERICAN WOUND CARE KY PLLC
Provider Business Mailing Address
First Line : 212 N 2ND ST STE 100
Second Line :
City : RICHMOND
State : KY
Zip : 40475-1408
Country : US
Telephone Number :
Fax Number :
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 : 251-901-3011
Fax Number : 251-901-3011
Authorized Official
Title or Position : AUTHORIZED MEMBER
Name : SYED NAQVI
Credential : MD
Telephone Number : 251-901-3011
Provider Enumeration Date : 08/06/2024
Last Update Date : 05/14/2026

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Directions to “AMERICAN WOUND CARE KY PLLC ” Practice Location

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