Organization
WOUND CARE SPECIALISTS, LLC
Active
Organization
WOUND CARE SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW THOMAS GIANFORTE DC (DIRECTOR)
(913) 620-2377
Entity
Organization
Contact information
Practice address
22742 MIDLAND DR, SHAWNEE, KS 66226-3553
(913) 620-2377
Mailing address
22742 MIDLAND DR, SHAWNEE, KS 66226-3553
(913) 620-2377
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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