# MISSOURI WOUND LLC

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

## Provider details

- **NPI number:** 1356252209
- **Authorized official:** SAMUEL KOHN (MANAGER)
- **Authorized official phone:** (347) 631-6775

## Contact information

- **Practice address:** 1501 CHARBONIER RD, FLORISSANT, MO 63031-5308
- **Practice address phone:** (646) 289-5357
- **Mailing address:** 4770 WHITE PLAINS RD, BRONX, NY 10470-1136

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/16/2026
- **Last updated:** 09/16/2026