Organization
WOUNDOLOGY MSO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK BENGSTON APRN (CO-FOUNDER)
(727) 214-4622
Entity
Organization
Contact information
Practice address
1040 MONARCH ST STE 3, LEXINGTON, KY 40513-1852
(727) 214-4622
Mailing address
1040 MONARCH ST STE 3, LEXINGTON, KY 40513-1852
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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