OrganizationActive
Integrated Wound Care Kentucky PLLC
NPI 1144970641 · Primary Care Nurse Practitioner · Phelps, KY
Provider details
- NPI number
- 1144970641
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Authorized official
- Diane Lusas, Member
Mailing address
492c Cedar Ln Ste 514
Teaneck, NJ 07666-1713
Registry dates
- Enumerated
- 2022-03-27
- Last updated
- 2022-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.