Individual
DR. KEVIN WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2924 SISKIYOU BLVD STE 200, MEDFORD, OR 97504-6462
(541) 200-2777
(541) 214-2575
Mailing address
2924 SISKIYOU BLVD, STE 200, MEDFORD, OR 97504-6462
(541) 200-2777
(541) 214-2575
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD192149
OR
207ND0101X
MOHS-Micrographic Surgery Physician
MD192149
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500768882
—
OR
Enumeration date
07/29/2011
Last updated
01/13/2025
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