Randy L Wolfe, Md | |
1325 Triplett St Owensboro KY 42303-3163 | |
(270) 688-4325 | |
Not Available |
Full Name | Randy L Wolfe, Md |
---|---|
Speciality | Internal Medicine |
Location | 1325 Triplett St, Owensboro, Kentucky |
Authorized Official Name and Position | Randy L Wolfe (OWNER) |
Authorized Official Contact | 2706884325 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Randy L Wolfe, Md Po Box 1395 Owensboro KY 42302-1395 Ph: (270) 688-4325 | Randy L Wolfe, Md 1325 Triplett St Owensboro KY 42303-3163 Ph: (270) 688-4325 |
NPI Number | 1043439193 |
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Provider Enumeration Date | 04/25/2007 |
Last Update Date | 04/29/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043439193 | NPI | - | NPPES |
65934259 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 18397 (Kentucky) | Primary |
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