Wound Professional Services of Kentucky, PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

WOUND PROFESSIONAL SERVICES OF KENTUCKY, PLLC

Practice address

13317 Westbury Way
Goshen, KY 40026-8422

Phone

(502) 409-8223

Fax

(502) 409-8330

NPI assigned

Jun 2, 2009

Last updated

Mar 22, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

WOUND PROFESSIONALSAs reported in NPPES

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

Authorized official

Name

Mrs. Terry L Mueller, RN

Title

Sr VP of Nursing Services

Phone

(502) 409-8223

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roberto A Penne-Casanova, MD

  • Occupational Medicine Physician
  • Louisville, KY
  • NPI 1265492748
  NPD

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300752000000",
    "number": "1467688770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13317 WESTBURY WAY",
            "city": "GOSHEN",
            "state": "KY",
            "postal_code": "400268422",
            "telephone_number": "502-409-8223",
            "fax_number": "502-409-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13317 WESTBURY WAY",
            "city": "GOSHEN",
            "state": "KY",
            "postal_code": "400268422",
            "telephone_number": "502-409-8223",
            "fax_number": "502-409-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND PROFESSIONAL SERVICES OF KENTUCKY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WOUND PROFESSIONALS",
        "enumeration_date": "2009-06-02",
        "last_updated": "2011-03-22",
        "status": "A",
        "authorized_official_last_name": "MUELLER",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SR VP OF NURSING SERVICES",
        "authorized_official_telephone_number": "502-409-8223",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rocco G Patella, DMD
• Ann G Perkins, C.C.C. - SLP
• Kenneth Solie Ramos, M.D.
• Guadalupe Smith
• Faith Tingle, NURSE PRACTITIONER

• Clinic/Center in Goshen, KY
• Providers in Goshen, KY by specialty
• Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.