Dynamic Wound Care LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

DYNAMIC WOUND CARE LLC

Practice address

1205 Audubon Pkwy
Louisville, KY 40213-1236

Phone

(502) 439-2617

NPI assigned

Jul 21, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kasey Jean Hollenbach, MSN, APRN, FNP-CNPI 1760864169

Title

Owner

Phone

(502) 439-2617

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY, OH2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kasey Jean Hollenbach

  • Family Nurse Practitioner
  • Louisville, KY
  • NPI 1760864169

  OH

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1023900362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 AUDUBON PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402131236",
            "telephone_number": "502-439-2617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 AUDUBON PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402131236",
            "telephone_number": "502-439-2617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC WOUND CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "HOLLENBACH",
        "authorized_official_first_name": "KASEY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-439-2617",
        "authorized_official_credential": "MSN, APRN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dynamic Medical and Rehab PLLC
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• Vertina Dyson, RN
• Caroline Carnes Dzenitis
• Inna M Dziekan, PHARM.D.
• E & J Chiropractic Health and Rehab Center
• E-Town Injury Center

• Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.