| Doctor Name: | KEVIN WOLFE |
| NPI Number: | 1003151150 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | APRN |
| License Number: | 3007555 |
| Business Practice Address: | 2001 Scioto Trl Ste 200 Portsmouth, OH - 456622845 |
| Business Phone Number: | 7403538100 |
| Business Fax Number: | 7403538908 |
| Mailing Address: | Po Box 2379, ASHLAND |
| State: | KY |
| Postal Code: | 411052379 |
| Phone Number: | 6064086200 |
| Fax Number: | 6064086612 |
| NPI Enumeration Date: | 11/30/2012 |
| NPI Last Update Date: | 10/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 3007555 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |