Wolf, Kalli M

Wolf, Kalli M is an individual health care provider with primary practice located at 2104 Banbury Ln , Oklahoma City OK 73170-3401. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Wolf, Kalli M can be contacted via phone (405) 203-5382.

Contact Information

Primary practice address
2104 Banbury Ln Oklahoma City OK 73170-3401
Phone: (405) 203-5382
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X CNM04688
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 121796 Oklahoma

Profile Details

NPI number 1033627187
LBN Legal business name Wolf, Kalli M
Credentials APRN, CMW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2018
Last updated Aug 26th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033627187 NPPES
Oklahoma MEDICAID 200776420A

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