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Individual
KAYLEY MARIE BRAMMER WOLF
Active
Individual
KAYLEY MARIE BRAMMER WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002455A
IN
363AM0700X
Medical Physician Assistant
10002455A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001175355
ANTHEM PTAN
IN
01
—
000001175356
ANTHEM PTAN
IN
01
—
1102431834
ANTHEM PTAN
IN
05
—
300014499
—
IN
Enumeration date
06/06/2018
Last updated
05/02/2025
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