# EAST TENNESSEE WOUND CARE PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rolyn PSC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568503993
- **Authorized official:** DR. CARY THOMAS KIRK M.D. (SOLE OWNER)
- **Authorized official phone:** (502) 930-9861

## Contact information

- **Practice address:** 4950 NORTON HEALTHCARE BLVD, SUITE 101, LOUISVILLE, KY 40241-2845
- **Practice address phone:** (502) 446-6160
- **Mailing address:** PO BOX 8180, LOUISVILLE, KY 40257-8180
- **Mailing address phone:** (502) 753-0680
- **Mailing address fax:** (502) 753-0687

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 21368 | KY | Yes |

## Other

- **Enumeration date:** 02/09/2007
- **Last updated:** 06/20/2013