Individual
THERESA R WOLFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1207 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-4312
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-6200
(859) 258-6203
Taxonomy
Speciality
Code
Description
License number
State
2081P0004X
Spinal Cord Injury Medicine Physician
Primary
44623
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100175110
—
KY
Enumeration date
05/14/2007
Last updated
04/09/2025
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