Individual
MATTHEW WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
340 THOMAS MORE PKWY STE 220, CRESTVIEW HILLS, KY 41017-5101
(859) 301-2211
Mailing address
340 THOMAS MORE PKWY STE 220, CRESTVIEW HILLS, KY 41017-5101
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1136852
KY
163W00000X
Registered Nurse
392572
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
1136852
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1136852
KENTUCKY NURSING LICENSE
KY
01
—
392572
OHIO NURSING LICENSE
OH
Enumeration date
11/15/2017
Last updated
01/09/2018
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