Individual
PETER WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
3500 S LAFOUNTAIN ST, KOKOMO, IN 46902-3803
(765) 453-0702
(260) 407-8004
Mailing address
3500 SOUTH LAFOUNTAIN ST., KOKOMO, IN 46904-9011
(765) 453-0702
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
10000436
IN
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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