Individual
DR. RANDY L. WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1325 TRIPLETT ST, OWENSBORO, KY 42303-3163
(270) 688-4325
Mailing address
PO BOX 1395, OWENSBORO, KY 42302-1395
(270) 688-4325
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18397
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000198726
ANTHEM BLUE CROSS/SHIELD
KY
01
—
50002978
PASSPORT
KY
05
—
64183973
—
KY
05
—
65934259
—
KY
01
—
7513462
CIGNA
KY
Enumeration date
06/02/2005
Last updated
07/09/2007
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