Individual
KIMBERLY ANN WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP.
Contact information
Practice address
119 VILLAGE WAY, PORT LUDLOW, WA 98365-9624
(360) 620-8560
(360) 437-9897
Mailing address
21 TYEE LN, PORT LUDLOW, WA 98365-9624
(360) 437-9566
(360) 437-9897
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00010506
WA
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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