Individual provider · Type 1 NPI
Kevin Jay Wolf, DPM
Primary Podiatric Medicine Podiatrist · Goldsboro, NC
NPI number
1487712824
Active
Practice location
407 N. Herman St
Goldsboro, NC 27530
Fax (919) 583-9790
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | 357 (NC) |
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | 357 (NC) |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 357 (NC) |
| Foot Surgery Podiatrist | 213ES0131X | 357 (NC) |
Primary Podiatric Medicine Podiatrist: Definition to come...
About NPI 1487712824
Kevin Jay Wolf, DPM's National Provider Identifier is 1487712824, issued on Dec 5, 2006. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Goldsboro, NC. The record was last updated on Mar 12, 2014.