NPI | 1639991623 |
---|---|
Doing Business As | ADVANCED WOUND SPECIALISTS |
Entity Type | Organization |
Authorized Contact | KAYLA NICOLE MCCOY Owner, Provider 620-583-7451 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
Enumeration Date | 2024-10-30 |
Last Update Date | 2024-10-30 |