Organization
ALPHA WOUND CARE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN KENNERLY PHD,RN (VICE PRESIDENT OF OPERATIONS)
(513) 623-0305
Entity
Organization
Contact information
Practice address
3363 SPYGLASS RDG, HAMILTON, OH 45013-8404
(513) 623-0305
(513) 738-3038
Mailing address
PO BOX 485, ROSS, OH 45061-0485
(513) 623-0305
(513) 738-3038
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2244226
—
OH
Enumeration date
04/19/2006
Last updated
10/12/2007
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