Individual
KAYLA BETH WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2110 W WALNUT ST STE 100, ROGERS, AR 72756-3246
(479) 877-7820
(479) 877-7821
Mailing address
PO BOX 776084, CHICAGO, IL 60677-6084
(314) 543-6979
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
214726
AR
Other
Enumeration date
07/07/2021
Last updated
12/11/2024
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