Wright, Kevin
Wright, Kevin is an sole proprietor health care provider with primary practice located at 2924 Siskiyou Blvd Ste 200 , Medford OR 97504-6462. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatopathology is his primary health care specialty. Wright, Kevin can be contacted via phone (541) 200-2777.Contact Information
Primary practice address
2924 Siskiyou Blvd Ste 200
Medford OR 97504-6462
Phone: (541) 200-2777
Fax: (541) 214-2575
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD192149 | Oregon |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | MD192149 | Oregon |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | MD192149 | Oregon |
Profile Details
| NPI number | 1164700738 |
|---|---|
| LBN Legal business name | Wright, Kevin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 29th, 2011 |
| Last updated | Dec 15th, 2022 - about 2 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 | 1164700738 | NPPES |
| Oregon | MEDICAID | 500768882 |
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