Individual
MS. KIMBERLY LENORE WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4735 OGLETOWN STANTON RD STE 3301, NEWARK, DE 19713-7021
(302) 623-4370
(302) 623-4375
Mailing address
4735 OGLETOWN STANTON RD STE 3301, NEWARK, DE 19713-7021
(302) 623-4370
(302) 623-4375
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C5-0011411
DE
363A00000X
Physician Assistant
MA052515
PA
363AM0700X
Medical Physician Assistant
MA052515
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1554129
GATEWAY-WMG
PA
01
—
2109234
HIGHMARK BLUE SHIELD
PA
Enumeration date
08/09/2006
Last updated
07/24/2020
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