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Individual

TRACEY DANIELLE WOLFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
210 E GRAY ST STE 602, LOUISVILLE, KY 40202-3902
(502) 585-1557
(502) 629-6064
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 559-9438
(502) 272-5339

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
47646
KY
207R00000X
Internal Medicine Physician
R3065
KY
207RG0100X
Gastroenterology Physician
Primary
47646
KY

Other

Enumeration date
05/09/2012
Last updated
10/03/2023
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