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Individual
MRS. KELLI L WRIGHT
Active
Individual
MRS. KELLI L WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA03635
TX
363AS0400X
Surgical Physician Assistant
PA10004877
WA
Other
Enumeration date
06/28/2006
Last updated
08/30/2022
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