Organization
KENNETH D WRIGHT, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH D WRIGHT MD (OWNER)
(501) 860-6130
Entity
Organization
Contact information
Practice address
1 MEDICAL PARK DR, BENTON, AR 72015-3353
(501) 860-6130
(501) 860-6054
Mailing address
787 RACETRACK RD, BENTON, AR 72015-9461
(501) 860-6130
(501) 860-6054
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E8073
ELECTRONIC SUBMITTER
AR
Enumeration date
04/16/2007
Last updated
08/22/2020
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