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Individual

KODEY E WRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
320 12TH AVE NE, NORMAN, OK 73071-5238
(405) 213-7893
Mailing address
11221 S KENNEDY CT, JENKS, OK 74037-1605
(918) 695-9246
(918) 283-0457

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
222400
OK
164W00000X
Licensed Practical Nurse
Primary
L0071231
OK

Other

Enumeration date
10/08/2024
Last updated
05/05/2026
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