Individual
DR. KENNETH ALAN WOLKOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3065 FAWN DR, PARK CITY, UT 84098-5368
(435) 655-8212
Mailing address
3065 FAWN DR, PARK CITY, UT 84098-5368
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
174127-1205
UT
Other
Enumeration date
05/19/2007
Last updated
07/08/2007
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