MEDICARE: KENDRA WRIGHT-SEALEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)		GA

General Provider Information

NPI Number	:	1538943782
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENDRA WRIGHT-SEALEY

Provider Business Mailing Address
First Line	:	194 GOOD HOPE RD
Second Line	:
City	:	NAYLOR
State	:	GA
Zip	:	31641-3704
Country	:	US
Telephone Number	:	229-561-4352
Fax Number	:

Provider Business Practice Location Address
First Line	:	194 GOOD HOPE RD
Second Line	:
City	:	NAYLOR
State	:	GA
Zip	:	31641-3704
Country	:	US
Telephone Number	:	229-561-4352
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2023
Last Update Date	:	08/21/2023

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Directions to “ KENDRA WRIGHT-SEALEY ” Practice Location

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