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Organization
EAST TENNESSEE WOUND CARE PC
Active
Organization
EAST TENNESSEE WOUND CARE PC
Active
Other names
Rolyn PSC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARY THOMAS KIRK M.D. (SOLE OWNER)
(502) 930-9861
Entity
Organization
Contact information
Practice address
4950 NORTON HEALTHCARE BLVD, SUITE 101, LOUISVILLE, KY 40241-2845
(502) 446-6160
Mailing address
PO BOX 8180, LOUISVILLE, KY 40257-8180
(502) 753-0680
(502) 753-0687
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
21368
KY
Other
Enumeration date
02/09/2007
Last updated
06/20/2013
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