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Individual

DR. KEVIN W. WOLFE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
136 FURMAN RD, SUITE 6, BOONE, NC 28607-5038
(828) 268-1185
(828) 265-8522
Mailing address
136 FURMAN RD, SUITE 6, BOONE, NC 28607-5038
(828) 268-1185
(828) 265-8522

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
2007-01896
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000488518B
MEDICAID OF GEORGIA
GA
05
048608600
FL
01
07168U
BCBS OF FLORIDA
FL
01
4102501
AETNA
FL
Enumeration date
07/25/2006
Last updated
01/07/2011
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