| Kevin Jay Wolf | |
|
407 N Herman St, Goldsboro, NC 27530-3816 | |
| (919) 583-9788 | |
| (919) 583-9790 |
| Full Name | Kevin Jay Wolf |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 407 N Herman St, Goldsboro, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063691301 | NPI | - | NPPES |
| 0818H | Other | NC | BCBS |
| 890818H | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 357 (North Carolina) | Primary |
| Provider Name | Kevin J Wolf |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1487712824 PECOS PAC ID: 4688564230 Enrollment ID: I20040706000542 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Jay Wolf 407 N Herman St, Goldsboro, NC 27530-3816 Ph: (919) 583-9788 | Kevin Jay Wolf 407 N Herman St, Goldsboro, NC 27530-3816 Ph: (919) 583-9788 |
Foot Faults Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 110 S Pineview Ave, Goldsboro, NC 27530 Phone: 919-734-8007 | |
Dr. Kevin Jay Wolf, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 407 N. Herman St, Goldsboro, NC 27530 Phone: 919-583-9788 Fax: 919-583-9790 | |
Jenny Lind Hall, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 207 Lee St, Goldsboro, NC 27530 Phone: 919-734-8007 Fax: 919-736-4048 | |
Wayne Foot Specialists Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 207 Lee Street, Goldsboro, NC 27530 Phone: 919-734-8007 Fax: 919-736-4048 |