KEVIN JAY WOLF NPI 1063691301

NPI Information

  • NPI: 1063691301
  • Provider Name: KEVIN JAY WOLF
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Doing Business As: GOLDSBORO PODIATRY
  • Address: 407 N HERMAN ST
    GOLDSBORO, NC
    ZIP 27530
  • Phone: (919) 583-9788

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NPI Details

KEVIN JAY WOLF is a podiatrist in Goldsboro, NC. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. KEVIN JAY WOLF NPI is 1063691301. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Goldsboro Podiatry.

The provider's business location address is:

407 N HERMAN ST
GOLDSBORO, NC
ZIP 27530-816
Phone: (919) 583-9788
Fax: (919) 583-9790

The provider's authorized official is Kevin Jay Wolf .
The authorized official title is Owner and has the following contact phone number (919) 583-9788.

The enumeration date for this NPI number is 11/2/2007 and was last updated on 3/7/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatrist357NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1T30700MEDICARE UPINNORTH CAROLINA
2890818HMEDICAIDNORTH CAROLINA
32432706MEDICARE PINNORTH CAROLINA
40948690001MEDICARE NSCNORTH CAROLINA
50818HOTHERNORTH CAROLINABCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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