| 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 |
|---|---|
| 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 |
|---|---|
| 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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