Provider Demographics
NPI:1356955959
Name:WRIGHT, KYLIE
Entity type:Individual
Prefix:
First Name:KYLIE
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:239A OLD NATIONAL RD
Mailing Address - Street 2:
Mailing Address - City:OLD WASHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43768-5000
Mailing Address - Country:US
Mailing Address - Phone:740-489-5571
Mailing Address - Fax:
Practice Address - Street 1:239A OLD NATIONAL RD
Practice Address - Street 2:
Practice Address - City:OLD WASHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43768-5000
Practice Address - Country:US
Practice Address - Phone:740-489-5571
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-02
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator