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NPI Code Detail

MEDICARE: DR. KEVIN WRIGHT M.D.

MEDICARE:  DR. KEVIN  WRIGHT  M.D.
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
1207ND0101XMOHS-Micrographic Surgery PhysicianMD192149OR
2207N00000XDermatology PhysicianMD192149OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164700738
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEVIN WRIGHT M.D.
Provider Business Mailing Address
First Line : 2924 SISKIYOU BLVD
Second Line : STE 200
City : MEDFORD
State : OR
Zip : 97504-6462
Country : US
Telephone Number : 541-200-2777
Fax Number : 541-214-2575
Provider Business Practice Location Address
First Line : 2924 SISKIYOU BLVD STE 200
Second Line :
City : MEDFORD
State : OR
Zip : 97504-6462
Country : US
Telephone Number : 541-200-2777
Fax Number : 541-214-2575
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2011
Last Update Date : 01/13/2025

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Directions to “ DR. KEVIN WRIGHT M.D.” Practice Location

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