Individual
KALLI M WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CMW
Contact information
Practice address
2104 BANBURY LN, OKLAHOMA CITY, OK 73170-3401
(405) 203-5382
Mailing address
2104 BANBURY LN, OKLAHOMA CITY, OK 73170-3401
(405) 203-5382
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
121796
OK
367A00000X
Advanced Practice Midwife
CNM04688
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200776420A
—
OK
Enumeration date
01/10/2018
Last updated
08/26/2021
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