NPI 1053696658

Kyle D Wolf, AA

Practitioner Anesthesiologist Assistant Brandon, FL

Practice location

Address: 119 Oakfield Dr, Brandon, FL 33511-5779
Phone: (813) 681-5551
Mailing address: 1901 Ulmerton Rd Suite 450, Clearwater, FL 33762-2300

Registered specialties

Anesthesiologist Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence AA108 (FL)

Other Anesthesiologist Assistant providers in Florida →

Registry record

NPI: 1053696658
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Oct 2011
Record last updated: 26 Feb 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.