| Doctor Name: | MRS. KELLEY MARIE DASOVICH WOLFF |
| NPI Number: | 1346372729 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | AMD-290 |
| Business Practice Address: | 1 Jarrett White Rd Tripler Army Medical Center Attn Mchk Qs Tamc, HI - 968595001 |
| Business Phone Number: | 8084332460 |
| Business Fax Number: | 8084331558 |
| Mailing Address: | 1 Jarrett White Rd, Tripler Army Medical Center Attn Mchk Qs TAMC |
| State: | HI |
| Postal Code: | 968595001 |
| Phone Number: | 8084332460 |
| Fax Number: | 8084331558 |
| NPI Enumeration Date: | 03/12/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | AMD-290 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |