Provider Demographics
NPI:1437253606
Name:WRIGHT, LEAH JANELLE (DC)
Entity Type:Individual
Prefix:DR
First Name:LEAH
Middle Name:JANELLE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8117 NEW LAGRANGE RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40222-4637
Mailing Address - Country:US
Mailing Address - Phone:502-326-9950
Mailing Address - Fax:502-326-9952
Practice Address - Street 1:8117 NEW LAGRANGE RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40222-4637
Practice Address - Country:US
Practice Address - Phone:502-326-9950
Practice Address - Fax:502-326-9952
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-11
Last Update Date:2013-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4959111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000482593OtherANTHEM BCBS
KY7100117350Medicaid
KY7100117350Medicaid