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Individual

KELLY LYNN WRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
885 KEMPSVILLE RD, SUITE 200, NORFOLK, VA 23502-3800
(757) 461-6342
(757) 963-6158
Mailing address
885 KEMPSVILLE RD, SUITE 200, NORFOLK, VA 23502-3800
(757) 461-6342
(757) 963-6158

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01011237474
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10003003
OPTIMA INSURANCE
05
10255911
VA
01
196806
ANTHEM
VA
01
5283777
CIGNA
01
7363715
AETNA
Enumeration date
07/17/2006
Last updated
12/12/2012
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