# BLUEGRASS DRYP WOUND CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BLUEGRASS WOUND CARE & HYPERBARICS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659150316
- **Authorized official:** SHELLY MARIE MILLER RN (CNO)
- **Authorized official phone:** (606) 503-2505

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WW0000X | Wound Care Registered Nurse | — | NULL | — |
| 163WW0000X | Wound Care Registered Nurse | — | — | — |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | — | NULL | Yes |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | — | — | Yes |
| 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