Healthcare Provider Details

I. General information

NPI: 1568068310
Provider Name (Legal Business Name): KAHYA WRIGHT NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/08/2020
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1456 FULTON ST
BROOKLYN NY
11216-2505
US

IV. Provider business mailing address

1456 FULTON ST
BROOKLYN NY
11216-2505
US

V. Phone/Fax

Practice location:
  • Phone: 733-997-8405
  • Fax:
Mailing address:
  • Phone: 718-636-4500
  • Fax: 347-296-8332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberF383880
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number775040
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: