IndividualActive
Kevin Wolter, MD
NPI 1427323401 · General Practice Physician · Mystic, CT
Provider details
- NPI number
- 1427323401
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 027924 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
43 Oxford Ct
Mystic, CT 06355-1705
Phone: (860) 536-2718
Approximate (ZIP-level) locationGet directions
Mailing address
43 Oxford Ct
Mystic, CT 06355-1705
Registry dates
- Enumerated
- 2012-03-09
- Last updated
- 2012-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.