Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | 7963 | KY |
Y | 1223P0300X | Periodontist | 936 | KY |
NPI | 1083757330 |
---|---|
Provider Name | Dr. Allison Stewart Wright |
First Address | Lexington, KY 40513-1960 |
Second Address | Lexington, KY 40513-1960 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2007 |
Last Update Date | 08/10/2013 |