Individual
KENNETH D. WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
787 RACETRACK RD, BENTON, AR 72015-9461
(501) 316-0048
Mailing address
787 RACETRACK RD, BENTON, AR 72015-9461
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C6902
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129248002
—
AR
Enumeration date
06/08/2006
Last updated
07/08/2007
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