Individual
DR. KATHY EILEEN WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10680 MAIN STREET S, SUITE 190, FAIRFAX, VA 22030
(703) 691-1188
(703) 691-2384
Mailing address
10680 MAIN STREET S, SUITE 190, FAIRFAX, VA 22030
(703) 691-1188
(703) 691-2384
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
VA0101055581
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6203361
—
VA
Enumeration date
09/20/2006
Last updated
07/08/2007
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