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Organization

BLUEGRASS DRYP WOUND CARE LLC

Active
Find providers by NPI
Organization

BLUEGRASS DRYP WOUND CARE LLC

Active
Other names
BLUEGRASS WOUND CARE & HYPERBARICS
Organization subpart
No

Provider details

NPI number
Authorized official
SHELLY MARIE MILLER RN (CNO)
(606) 503-2505
Entity
Organization

Contact information

Practice address
330 21ST ST, ASHLAND, KY 41101-7726
(740) 637-8038
Mailing address
330 21ST ST, ASHLAND, KY 41101-7726
(606) 503-2505
(606) 324-9101

Taxonomy

Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
NULL
163WW0000X
Wound Care Registered Nurse
—
—
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
—
NULL
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
NULL
363LG0600X
Gerontology Nurse Practitioner
—
—

Other

Enumeration date
09/22/2023
Last updated
03/12/2024
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