Provider Demographics
NPI:1588333140
Name:WRIGHT, KATHRYN OWELLEN (RNFA)
Entity type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:OWELLEN
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:MISS
Other - First Name:KATHRYN
Other - Middle Name:DEREK
Other - Last Name:OWELLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1538 N GILPIN ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1631
Mailing Address - Country:US
Mailing Address - Phone:585-820-6845
Mailing Address - Fax:
Practice Address - Street 1:LUTHERAN MEDICAL CENTER
Practice Address - Street 2:8300 W 38TH AVE
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033
Practice Address - Country:US
Practice Address - Phone:303-425-4500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-08
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.1632639163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant