INTEGRATED WOUND CARE KENTUCKY PLLC NPI 1144970641

NPI Information

  • NPI: 1144970641
  • Provider Name: INTEGRATED WOUND CARE KENTUCKY PLLC
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 60 PHILLIPS BRANCH RD
    PHELPS, KY
    ZIP 41553
  • Phone: (718) 963-3495

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NPI Details

INTEGRATED WOUND CARE KENTUCKY PLLC is a primary care nurse practitioner in Phelps, KY. INTEGRATED WOUND CARE KENTUCKY PLLC NPI is 1144970641. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

60 PHILLIPS BRANCH RD
PHELPS, KY
ZIP 41553-061
Phone: (718) 963-3495

The provider's authorized official is Diane Lusas .
The authorized official title is Member and has the following contact phone number (718) 963-3495.

The enumeration date for this NPI number is 3/27/2022 and was last updated on 12/29/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeNo
2363LP2300XNurse PractitionerPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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