Organization
BLUEGRASS WOUND SOLUTIONS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBECCA PRIODE APRN (OWNER/AUTHORIZED OFFICIAL)
(606) 325-6493
Entity
Organization
Contact information
Practice address
330 21ST ST, ASHLAND, KY 41101-7726
(606) 325-6493
(606) 324-9101
Mailing address
330 21ST ST, ASHLAND, KY 41101-7726
(606) 325-6493
(606) 324-9101
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/02/2021
Last updated
01/11/2024
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