Kevin Jay Wolf

NPI 1063691301 - Podiatrist - 213E00000X

NPI Details
NPI 1063691301
Enumeration Date 11/02/2007
Last Updated 03/07/2014
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KEVIN JAY KEVIN
Position OWNER
Phone (919) 583-9788
Fax (919) 583-9790
Practice Location
407 N HERMAN ST
GOLDSBORO NC, 27530-3816, US
Phone (919) 583-9788
Fax (919) 583-9790
Business Location
407 N HERMAN ST
GOLDSBORO NC, 27530-3816, US
Phone (919) 583-9788
Fax (919) 583-9790
Toxanomy
Taxonomy Code 213E00000X
License State North Carolina
License Number 357
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According to our database, Kevin Jay Wolf NPI is 1063691301, taxonomy code is 213E00000X and license number is 357, license state is located at North Carolina. Kevin Jay Wolf physically located at 407 N Herman St, Goldsboro NC, 27530-3816. NPI Number 1033115704 has the healthcare provider type.

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1063691301 NPI number is provided on an as is basis without warranty of any kind. 1063691301 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin Jay Wolf are for informational purposes only.