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Individual

DR. KENNETH A WOLKON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
89 ACCESS RD, SUITE 24, NORWOOD, MA 02062-5229
(781) 551-0999
(781) 551-3396
Mailing address
89 ACCESS RD, SUITE 24, NORWOOD, MA 02062-5229
(781) 551-0999
(781) 551-3396

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
312
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000960
VALUE OPTIONS
MA
01
042659047
PACIFICARE
MA
01
30257-1
BCBS/RI
MA
01
709359
TUFTS
MA
01
R43635
MAGELLAN
MA
01
W01643
BCBS
MA
Enumeration date
10/20/2006
Last updated
08/05/2010
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