Organization · Type 2 NPI
Wound Ostomy Leg & Foot Care Clinic and Spa LLC
Wound Care Registered Nurse · Raytown, MO
NPI number
1568304897
Active
Practice location
9808 E 66th Ter
Raytown, MO 64133-5850
Fax (833) 970-2362
Mailing address
2005 Marjorie Cir
Leavenworth, KS 66048-2135
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Wound Care Registered Nurse Primary | 163WW0000X | None listed |
| Ostomy Care Registered Nurse | 163WX1500X | None listed |
Wound Care Registered Nurse: Definition to come...
About NPI 1568304897
Wound Ostomy Leg & Foot Care Clinic and Spa LLC's National Provider Identifier is 1568304897, issued on Apr 7, 2026. The primary taxonomy on file is Wound Care Registered Nurse (163WW0000X), and the practice location is in Raytown, MO. The record was last updated on Apr 30, 2026.