Individual
DR. RANDY L. WOLFE
Active
Individual
DR. RANDY L. WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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