Individual
KATHRYN A. WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
14828 GREYHOUND CT, SUITE 190, CARMEL, IN 46032-5019
(317) 582-9000
Mailing address
10330 N MERIDIAN ST, SUITE 201, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
71002703A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200910340
—
IN
Enumeration date
08/04/2008
Last updated
12/31/2013
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