Organization
INTEGRATED WOUND & OSTOMY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN MARIE BOYLE AGPCNP (CEO)
(610) 585-0857
Entity
Organization
Contact information
Practice address
50 N MALIN RD, BROOMALL, PA 19008-1429
(610) 356-0800
Mailing address
1606 ELDRIDGE DRIVE, WEST CHESTER, PA 19380-6458
(610) 585-0857
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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