Provider Demographics
NPI:1104577949
Name:WRIGHT, FELICIA KAYES
Entity type:Individual
Prefix:
First Name:FELICIA
Middle Name:KAYES
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 1:3801 NW 63RD ST BLDG 1
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73116-1900
Mailing Address - Country:US
Mailing Address - Phone:405-840-9396
Mailing Address - Fax:
Practice Address - Street 1:3801 NW 63RD ST BLDG 1
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-1900
Practice Address - Country:US
Practice Address - Phone:405-840-9396
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-13
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist