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Individual
KENDALL MERRITT WRIGHT
Active
Individual
KENDALL MERRITT WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-15171
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100207160C
—
KS
01
—
103207
BC/BS
KS
01
—
P00057491
MEDICARE RAILROAD
KS
Enumeration date
07/24/2006
Last updated
04/02/2012
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