Organization
SIMPLICITY WOUND CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE SANDERS (CREDENTIALING MANAGER)
(502) 630-2036
Entity
Organization
Contact information
Practice address
790 N DIXIE AVE STE 801, ELIZABETHTOWN, KY 42701-2473
(502) 445-7957
Mailing address
790 N DIXIE AVE STE 801, ELIZABETHTOWN, KY 42701-2473
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
—
—
Other
Enumeration date
01/01/2024
Last updated
01/01/2024
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