Organization
BLUEGRASS DRYP WOUND CARE LLC
Active
Other names
BLUEGRASS WOUND CARE & HYPERBARICS
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY MARIE MILLER RN (CNO)
(606) 503-2505
Entity
Organization
Contact information
Practice address
330 21ST ST, ASHLAND, KY 41101-7726
(740) 637-8038
Mailing address
330 21ST ST, ASHLAND, KY 41101-7726
(606) 503-2505
(606) 324-9101
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
—
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
—
—
208600000X
Surgery Physician
—
—
363L00000X
Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Enumeration date
09/22/2023
Last updated
03/12/2024
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