Individual
DR. KENNETH JAMES WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
711 DELMORE DR - ALTRU CLINIC/ROSEAU, ROSEAU, MN 56751-1534
(218) 463-1365
(218) 463-3928
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201
(701) 780-1891
(318) 254-2229
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
46906
MN
207Q00000X
Family Medicine Physician
E3349
AR
207Q00000X
Family Medicine Physician
MD.15640R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1460818
—
LA
05
—
146792001
—
AR
05
—
160354002
—
AR
01
—
5F528
BCBS-MEDICAL PARK DRS GP
AR
01
—
5M277
BCBS
AR
Enumeration date
06/20/2006
Last updated
05/01/2019
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