Provider Demographics
NPI:1922048503
Name:WRIGHTSON, ALAN STEVENS JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:STEVENS
Last Name:WRIGHTSON
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1306 VERSAILLES RD
Mailing Address - Street 2:STE 120
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504-1796
Mailing Address - Country:US
Mailing Address - Phone:859-259-0717
Mailing Address - Fax:859-254-7874
Practice Address - Street 1:1306 VERSAILLES RD
Practice Address - Street 2:STE 120
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-1796
Practice Address - Country:US
Practice Address - Phone:859-259-0717
Practice Address - Fax:859-254-7874
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2020-04-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY25346207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000480022OtherANTHEM
KY000000665104OtherANTHEM
KY5017531OtherAETNA
KY64253461Medicaid
KY000000480022OtherANTHEM
KY5017531OtherAETNA
KYP400031568Medicare PIN