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Individual

KELLY N. WRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
444 S SAN VICENTE BLVD STE 1003, LOS ANGELES, CA 90048-4166
(310) 423-9268
Mailing address
444 S SAN VICENTE BLVD STE 1003, LOS ANGELES, CA 90048-4166
(310) 423-9268

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
246580
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110088949A
MA
Enumeration date
08/05/2007
Last updated
03/02/2021
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