Provider Demographics
NPI:1942389994
Name:WRIGHT, KELLY C (ND)
Entity Type:Individual
Prefix:DR
First Name:KELLY
Middle Name:C
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:19330 VASHON HWY SW
Mailing Address - Street 2:
Mailing Address - City:VASHON
Mailing Address - State:WA
Mailing Address - Zip Code:98070-5215
Mailing Address - Country:US
Mailing Address - Phone:206-463-4778
Mailing Address - Fax:206-463-4791
Practice Address - Street 1:19330 VASHON HWY SW
Practice Address - Street 2:
Practice Address - City:VASHON
Practice Address - State:WA
Practice Address - Zip Code:98070-5212
Practice Address - Country:US
Practice Address - Phone:206-463-4778
Practice Address - Fax:206-463-4791
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT874175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath