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Individual

KYLE ELY WOLFE

Active
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Individual

KYLE ELY WOLFE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CDN

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
012026
NY
133N00000X
Nutritionist
Primary
DN008627
PA
133NN1002X
Nutrition Education Nutritionist
012026
NY
133NN1002X
Nutrition Education Nutritionist
DN008627
PA
171400000X
Health & Wellness Coach
012026
NY
171400000X
Health & Wellness Coach
DN008627
PA
174H00000X
Health Educator
012026
NY
174H00000X
Health Educator
DN008627
PA

Other

Enumeration date
04/02/2024
Last updated
12/06/2025
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