Provider Demographics
NPI:1720841026
Name:WRIGHT, KAREN C
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:C
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 1:1275 CAROL DR
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:OH
Mailing Address - Zip Code:44240-1601
Mailing Address - Country:US
Mailing Address - Phone:234-233-0161
Mailing Address - Fax:
Practice Address - Street 1:1250 IDLEWILD DR APT 37
Practice Address - Street 2:
Practice Address - City:RAVENNA
Practice Address - State:OH
Practice Address - Zip Code:44266-3683
Practice Address - Country:US
Practice Address - Phone:330-942-6266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-31
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide