| NPI | 1457545543 |
|---|---|
| Doing Business As | BELLEFONTE WOUND CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | TROY CONNETT Director Of Finance 606-833-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2019-05-20 |