Individual
KELLY WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10434 SENECA TRL S, LEWISBURG, WV 24901-1586
(304) 645-1706
(304) 645-4085
Mailing address
PO BOX 59, MOUNT LOOKOUT, WV 26678-0059
(304) 651-5923
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
21049
WV
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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