Mrs. Kelly A. Wright
Full Name
Mrs. Kelly Austin Wright
NPI Number
1699973255
NPI Type
Individual Provider
Gender
Female
Enumeration Date
07/05/2007
Specialties
(Taxonomies)Code
2471M2300X
2471C3402X
Primary Taxonomy
No
No
Licenses
State
California
Florida
Maryland
South Carolina
Virginia
License Number
RHM83902
CRT60483
R0007048
006861
0120003803
Contact
Information
Purpose
Mailing
Location
Address
3015 PROPHET DR
3015 PROPHET DR
City
Hillsborough
Hillsborough
State
NC
NC
Postal Code
27278-7820
27278-7820
Country
US
US
Telephone Number
(386) 679-8699
(386) 679-8699
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/08/2007