MEDICARE: ADAM MATTHEW WRIGHT

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
1	390200000X	Student in an Organized Health Care Education/Training Program		KY

General Provider Information

NPI Number	:	1275472581
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAM MATTHEW WRIGHT

Provider Business Mailing Address
First Line	:	12505 LOGAN LN
Second Line	:
City	:	KEVIL
State	:	KY
Zip	:	42053-8500
Country	:	US
Telephone Number	:	270-443-1442
Fax Number	:

Provider Business Practice Location Address
First Line	:	250 LONE OAK RD STE A
Second Line	:
City	:	PADUCAH
State	:	KY
Zip	:	42001-4494
Country	:	US
Telephone Number	:	270-443-1442
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2026
Last Update Date	:	03/25/2026

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Directions to “ ADAM MATTHEW WRIGHT ” Practice Location

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