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Organization

RANDY L WOLFE, MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RANDY L WOLFE MD (OWNER)
(270) 688-4325
Entity
Organization

Contact information

Practice address
1325 TRIPLETT ST, OWENSBORO, KY 42303-3163
(270) 688-4325
Mailing address
PO BOX 1395, OWENSBORO, KY 42302-1395
(270) 688-4325

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18397
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
65934259
KY
Enumeration date
04/25/2007
Last updated
04/29/2008
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