Healthcare Provider Details

I. General information

NPI: 1730092065
Provider Name (Legal Business Name): KIERA ELIZABETH WRIGHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2026
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1020 S TRIMBLE RD
MANSFIELD OH
44906-3428
US

IV. Provider business mailing address

1020 S TRIMBLE RD
MANSFIELD OH
44906-3428
US

V. Phone/Fax

Practice location:
  • Phone: 630-538-2896
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: