Individual
KEVIN WOLFINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
314 9TH ST, HUNTINGDON, PA 16652-1804
(814) 643-4500
Mailing address
202 ALLEGANY AVE, COUDERSPORT, PA 16915-1502
(814) 558-7869
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG003545
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
PA
Other
Enumeration date
03/20/2019
Last updated
07/08/2019
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