| NPI | 1104844430 |
|---|---|
| Former Name | KELLY J WOLF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 3919) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 3919-012) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2023-08-22 |