Female

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

Provider Address