# BLUEGRASS WOUND CONSULTANTS

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

## Provider details

- **NPI number:** 1639977515
- **Authorized official:** MR. JEREMY JARMON RN (MANAGER)
- **Authorized official phone:** (800) 741-3995

## Contact information

- **Practice address:** 222 E WITHERSPOON ST STE 105, LOUISVILLE, KY 40202-6304
- **Practice address phone:** (800) 741-3995
- **Practice address fax:** (855) 274-8529
- **Mailing address:** 222 E WITHERSPOON ST STE 105, LOUISVILLE, KY 40202-6304
- **Mailing address phone:** (800) 741-3995
- **Mailing address fax:** (855) 274-8529

## Taxonomy

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

## Other

- **Enumeration date:** 03/05/2025
- **Last updated:** 03/05/2025