Provider Demographics
NPI:1811732498
Name:UNITED SOLUTIONS WOUND CARE LLC
Entity type:Organization
Organization Name:UNITED SOLUTIONS WOUND CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CLUFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-564-8401
Mailing Address - Street 1:4095 S HIGHLAND DR
Mailing Address - Street 2:
Mailing Address - City:HOLLADAY
Mailing Address - State:UT
Mailing Address - Zip Code:84124-1664
Mailing Address - Country:US
Mailing Address - Phone:801-564-8401
Mailing Address - Fax:435-578-8143
Practice Address - Street 1:4095 S HIGHLAND DR
Practice Address - Street 2:
Practice Address - City:HOLLADAY
Practice Address - State:UT
Practice Address - Zip Code:84124-1664
Practice Address - Country:US
Practice Address - Phone:801-564-8401
Practice Address - Fax:435-578-8143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-26
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty