DR. KENNETH JAMES WRIGHT MD NPI 1235174376

NPI Information

NPI: 1235174376
Provider Name: DR. KENNETH JAMES WRIGHT, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
711 DELMORE DR - ALTRU CLINIC/ROSEAU
ROSEAU, MN
ZIP 56751
Phone: (218) 463-1365
Get Directions

DR. Kenneth James Wright, MD is a family medicine in Roseau, MN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Kenneth James Wright, MD NPI is 1235174376. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

711 DELMORE DR - ALTRU CLINIC/ROSEAU
ROSEAU, MN
ZIP 56751-534
Phone: (218) 463-1365
Fax: (218) 463-3928

The NPI 1235174376 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/20/2006 and was last updated on 5/1/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	207Q00000X	Family Medicine	MD.15640R	LOUISIANA	No
2	207Q00000X	Family Medicine	E3349	ARKANSAS	No
3	207Q00000X	Family Medicine	46906	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5M277	OTHER	ARKANSAS	BCBS
2	146792001	MEDICAID	ARKANSAS
3	160354002	MEDICAID	ARKANSAS
4	5F528	OTHER	ARKANSAS	BCBS-MEDICAL PARK DRS GP
5	1460818	MEDICAID	LOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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