Healthcare Provider Details

I. General information

NPI: 1720479223
Provider Name (Legal Business Name): KELLY BETH WRIGHT APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS KELLY BETH MOSLEY

II. Dates (important events)

Enumeration Date: 02/05/2015
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9501 BAPTIST HEALTH DR STE 900
LITTLE ROCK AR
72205-6234
US

IV. Provider business mailing address

11001 EXECUTIVE CENTER DR STE 200
LITTLE ROCK AR
72211-4393
US

V. Phone/Fax

Practice location:
  • Phone: 501-219-0721
  • Fax: 501-224-0420
Mailing address:
  • Phone: 501-219-0721
  • Fax: 501-224-0420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberA004299
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: