# ENCORE WOUND CARE - KENTUCKY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346009040
- **Authorized official:** MATTHEW LEGOWSKI (OPERATIONS)
- **Authorized official phone:** (609) 703-5097

## Contact information

- **Practice address:** 2277 THUNDERSTICK DR STE 300, LEXINGTON, KY 40505-4877
- **Practice address phone:** (440) 652-8748
- **Practice address fax:** (440) 582-3171
- **Mailing address:** 12301 RIDGE RD, NORTH ROYALTON, OH 44133-3744
- **Mailing address phone:** (609) 703-5097

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 03/15/2024
- **Last updated:** 05/20/2025