Rolyn Psc

LBN: East Tennessee Wound Care Pc
Rolyn Psc is an health care organization with primary practice located at 4950 Norton Healthcare Blvd Suite 101, Louisville KY 40241-2845. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, which is considered as the primary health care specialty. East Tennessee Wound Care Pc can be contacted via phone (502) 446-6160, or through Kirk, Cary Thomas via phone (502) 930-9861.

Contact Information

Primary practice address
4950 Norton Healthcare Blvd Suite 101 Louisville KY 40241-2845
Fax:
Website:
Authorized official contact:
Name: Kirk, Cary Thomas Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X 21368 Kentucky

Profile Details

NPI number 1568503993
LBN Legal business name East Tennessee Wound Care Pc
DBA Doing business as Rolyn Psc
Authorized official Kirk, Cary Thomas Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2007
Last updated Jun 20th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1568503993 NPPES
Kentucky Other 2789407000 PASSPORT ADVANTAGE
Kentucky Other DF7517 PASSPORT ADVANTAGE
Kentucky Other 000000487847 PASSPORT ADVANTAGE
Kentucky MEDICAID 200828020A PASSPORT ADVANTAGE
Kentucky Other 50012967 PASSPORT ADVANTAGE

Popular Providers