Wolf, Kevin Jay

Wolf, Kevin Jay is an sole proprietor health care provider with primary practice located at 407 N. Herman St , Goldsboro NC 27530. He recently has 4 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is his primary health care specialty. Wolf, Kevin Jay can be contacted via phone (919) 583-9788.

Contact Information

Primary practice address
407 N. Herman St Goldsboro NC 27530
Phone: (919) 583-9788
Fax: (919) 583-9790
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 357 North Carolina
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 357 North Carolina
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 357 North Carolina
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 357 North Carolina

Profile Details

NPI number 1487712824
LBN Legal business name Wolf, Kevin Jay
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2006
Last updated Mar 12th, 2014 - about 11 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 1487712824 NPPES
North Carolina MEDICAID 890818H
North Carolina Other 0818H

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