Organization
KEVIN JAY WOLF
Active
Other names
Goldsboro Podiatry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN JAY WOLF DPM (OWNER)
(919) 583-9788
Entity
Organization
Contact information
Practice address
407 N HERMAN ST, GOLDSBORO, NC 27530-3816
(919) 583-9788
(919) 583-9790
Mailing address
407 N HERMAN ST, GOLDSBORO, NC 27530-3816
(919) 583-9788
(919) 583-9790
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
357
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0818H
BCBS
NC
05
—
890818H
—
NC
Enumeration date
11/02/2007
Last updated
03/07/2014
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