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:
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Health care specialties

SpecialtyCodeLicense #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 15 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 1568410579 NPPES
Florida Other ME15684 LICENSE
Florida MEDICAID 002462600 LICENSE

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