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Individual

KEITH J WRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1135 GEORGETOWN RD, SUITE 201, CHRISTIANA, PA 17509-9543
(717) 806-3800
(717) 806-3799
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
PAK000200
PA
207Q00000X
Family Medicine Physician
MD00032572
WA
207Q00000X
Family Medicine Physician
Primary
MD053840L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1021123770001
PA
01
188431
LABOR & INDUSTRIES #
WA
01
50051184
CAPTIAL BLUE CROSS
01
50077762
CAPITAL BLUE CROSS
PA
01
5975114
AETNA PROV #
WA
05
8178378
WA
01
9160WR
REGENCE PROV #
WA
01
J8131-03
PACIFIC SOURCE
WA
01
WR2020776
HIGHMARK BLUE SHIELD
PA
Enumeration date
04/10/2006
Last updated
07/24/2025
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