Individual
KELLY WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2 IMPERIAL CT, DAVENPORT, IA 52807-2216
(563) 726-1754
Mailing address
2 IMPERIAL CT, DAVENPORT, IA 52807-2216
(563) 726-1754
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
122824
IA
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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