Organization
BLUEGRASS WOUND CARE OF OHIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH CHAMBLEE (AUTHORIZED OFFICIAL)
(205) 285-1642
Entity
Organization
Contact information
Practice address
524 2ND ST, PORTSMOUTH, OH 45662-3809
(205) 285-1642
Mailing address
524 2ND ST, PORTSMOUTH, OH 45662-3809
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/19/2025
Last updated
02/27/2025
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