| Affinity Wound Care PLLC | |
|
1215 Southtown Blvd Ste 303 Owensboro KY 42301-7407 | |
| (270) 570-9535 | |
| Not Available |
| Full Name | Affinity Wound Care PLLC |
|---|---|
| Speciality | General Practice |
| Location | 1215 Southtown Blvd Ste 303, Owensboro, Kentucky |
| Authorized Official Name and Position | Jason Bredenkamp (PRESIDENT AND CEO) |
| Authorized Official Contact | 8152225643 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Affinity Wound Care PLLC 1215 Southtown Blvd Ste 303 Owensboro KY 42301-7407 Ph: (270) 570-9535 | Affinity Wound Care PLLC 1215 Southtown Blvd Ste 303 Owensboro KY 42301-7407 Ph: (270) 570-9535 |
| NPI Number | 1740165414 |
|---|---|
| Provider Enumeration Date | 08/11/2025 |
| Last Update Date | 11/04/2025 |
| Certification Date | 11/04/2025 |
| Medicare PECOS PAC ID | 4880185131 |
|---|---|
| Medicare Enrollment ID | O20251114000085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740165414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Jason Bredenkamp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780601237 PECOS PAC ID: 1951292168 Enrollment ID: I20250212002315 |
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