Individual
KYLE ELY WOLFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDN
Contact information
Practice address
204 MEADOW RIDGE ACRES RD, MILFORD, PA 18337-7805
(914) 799-2023
Mailing address
204 MEADOW RIDGE ACRES RD, MILFORD, PA 18337-7805
(914) 799-2023
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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