Provider Demographics
NPI:1376045963
Name:WRIGHT, KYNDRA P (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:KYNDRA
Middle Name:P
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 W FORT WILLIAMS ST STE 100
Mailing Address - Street 2:
Mailing Address - City:SYLACAUGA
Mailing Address - State:AL
Mailing Address - Zip Code:35150-2433
Mailing Address - Country:US
Mailing Address - Phone:256-249-6995
Mailing Address - Fax:256-245-6992
Practice Address - Street 1:315 W FORT WILLIAMS ST STE 100
Practice Address - Street 2:
Practice Address - City:SYLACAUGA
Practice Address - State:AL
Practice Address - Zip Code:35150-2433
Practice Address - Country:US
Practice Address - Phone:256-249-6995
Practice Address - Fax:256-245-6992
Is Sole Proprietor?:No
Enumeration Date:2018-02-28
Last Update Date:2018-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-140446363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner