Wright, Colleen Kelly

Wright, Colleen Kelly is an individual health care provider with primary practice located at 44084 Riverside Pkwy Suite 300, Leesburg VA 20176-5102. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Wright, Colleen Kelly can be contacted via phone (703) 724-7530.

Contact Information

Primary practice address
44084 Riverside Pkwy Suite 300 Leesburg VA 20176-5102
Fax: (703) 858-2870
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101035828 Virginia

Profile Details

NPI number 1730172255
LBN Legal business name Wright, Colleen Kelly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Oct 25th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730172255 NPPES
Virginia MEDICAID 5611792
Virginia MEDICAID 05607388
Virginia Other 080156029

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