Healthcare Provider Details

I. General information

NPI: 1750590089
Provider Name (Legal Business Name): RAYMOND D WRIGHT, JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 04/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

740 S LIMESTONE K401
LEXINGTON KY
40536-0001
US

IV. Provider business mailing address

740 S LIMESTONE K401
LEXINGTON KY
40536-0001
US

V. Phone/Fax

Practice location:
  • Phone: 859-323-5533
  • Fax: 859-323-2412
Mailing address:
  • Phone: 859-323-5533
  • Fax: 859-323-2412

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number41008
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number41008
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: