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Individual
KATHY JOLENE WULF
Active
Individual
KATHY JOLENE WULF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A066623
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0442715
—
IA
05
—
100251147-00
—
NE
01
—
10336
MIDLANDS CHOICE
—
01
—
P00126757
RR MEDICARE IOWA
—
Enumeration date
06/06/2006
Last updated
04/02/2024
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