Wolfe, Kenneth
Wolfe, Kenneth is an individual health care provider with primary practice located at 844 S Madison St , Tupelo MS 38801-4904. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wolfe, Kenneth can be contacted via phone (662) 377-5400.Contact Information
Primary practice address
844 S Madison St
Tupelo MS 38801-4904
Phone: (662) 377-5400
Fax: (662) 377-5415
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 16452 | Mississippi |
Profile Details
| NPI number | 1114983111 |
|---|---|
| LBN Legal business name | Wolfe, Kenneth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Feb 18th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114983111 | NPPES |
| Mississippi | MEDICAID | 00124238 |
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