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NPI Code Detail

MEDICARE: KIM A WRIGHT LCSW

MEDICARE: KIM A WRIGHT LCSW
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
11041C0700XClinical Social Worker2000148148MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427032085
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIM A WRIGHT LCSW
Provider Business Mailing Address
First Line : 111 S TREATY RD
Second Line :
City : MIAMI
State : OK
Zip : 74354-5327
Country : US
Telephone Number : 918-540-1511
Fax Number : 918-542-7374
Provider Business Practice Location Address
First Line : 111 S TREATY RD
Second Line :
City : MIAMI
State : OK
Zip : 74354-5327
Country : US
Telephone Number : 918-540-1511
Fax Number : 918-542-7374
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2005
Last Update Date : 10/22/2018

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Directions to “ KIM A WRIGHT LCSW” Practice Location

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