RENEUVIA WOUND CARE LLC NPI 1750030235

NPI Information

NPI: 1750030235
Provider Name: RENEUVIA WOUND CARE LLC
Classification: Registered Nurse - 163WW0000X
Entity Type: Organization

Specialization: Wound Care

Address:
1501 WESTPORT RD STE 101
KANSAS CITY, MO
ZIP 64111
Phone: (816) 347-8884
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RENEUVIA WOUND CARE LLC is a wound care registered nurse in Kansas City, MO. RENEUVIA WOUND CARE LLC NPI is 1750030235. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1501 WESTPORT RD STE 101
KANSAS CITY, MO
ZIP 64111-366
Phone: (816) 347-8884

The provider's authorized official is Bradford Wallis .
The authorized official title is Owner and has the following contact phone number (816) 347-8884.

The enumeration date for this NPI number is 3/22/2022 and was last updated on 8/15/2023.

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
1	163WW0000X	Registered Nurse	Wound Care			Yes

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: 4/28/2024

NPI Synchronization or Removal

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