Individual
MRS. DEBRA JEAN WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
275 COURT ST, IRVINE, KY 40336-1077
(606) 723-2167
(606) 723-2112
Mailing address
275 COURT ST, IRVINE, KY 40336-1077
(606) 723-2167
(606) 723-2112
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
KY 1030153 24198
KY
363L00000X
Nurse Practitioner
Primary
3002419
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
183919
RIVERBEND GOVERNMENT
KY
05
—
35001643
—
KY
05
—
78005014
—
KY
Enumeration date
12/29/2005
Last updated
07/10/2015
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