Healthcare Provider Details

I. General information

NPI: 1881645224
Provider Name (Legal Business Name): CURTIS J WOLFE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 10/27/2023
Certification Date: 10/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3211 S IOWA ST STE 100
LAWRENCE KS
66046-5238
US

IV. Provider business mailing address

325 MAINE STREET MSO LIBRARY
LAWRENCE KS
66044
US

V. Phone/Fax

Practice location:
  • Phone: 785-505-5475
  • Fax: 785-505-5326
Mailing address:
  • Phone: 785-505-2988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0428146
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number0428146
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: