Provider Demographics
NPI:1265015713
Name:WOLF, JULIE KELL (DO)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:KELL
Last Name:WOLF
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:FRANCES
Other - Last Name:KELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:291 STATE ROUTE 288
Mailing Address - Street 2:
Mailing Address - City:ELLWOOD CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16117-5513
Mailing Address - Country:US
Mailing Address - Phone:724-752-8722
Mailing Address - Fax:724-752-5508
Practice Address - Street 1:291 STATE ROUTE 288
Practice Address - Street 2:
Practice Address - City:ELLWOOD CITY
Practice Address - State:PA
Practice Address - Zip Code:16117-5513
Practice Address - Country:US
Practice Address - Phone:724-752-8722
Practice Address - Fax:724-752-5508
Is Sole Proprietor?:No
Enumeration Date:2021-05-03
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS023854207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine