Wright, Kenneth J
Wright, Kenneth J is an individual health care provider with primary practice located at 2809 W Waters Ave , Tampa FL 33614-1852. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Wright, Kenneth J can be contacted via phone (813) 348-9088.Contact Information
Primary practice address
2809 W Waters Ave
Tampa FL 33614-1852
Phone: (813) 348-9088
Fax: (813) 348-9310
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 29517 | Alabama |
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | ME105164 | Florida |
Profile Details
NPI number | 1568410579 |
---|---|
LBN Legal business name | Wright, Kenneth J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 4th, 2006 |
Last updated | Mar 8th, 2011 - about 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1568410579 | NPPES |
Florida | Other | ME15684 | LICENSE |
Florida | MEDICAID | 002462600 | LICENSE |
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