Individual provider · Type 1 NPI

Ethan Perry Wright, DO

Student in an Organized Health Care Education/Training Program · Kingman, AZ

NPI number 1205725686 Active

Practice location

3269 N Stockton Hill Rd
Kingman, AZ 86409-3619

Call (928) 757-2101 Map

Mailing address

3091 Amanda Cir
Kingman, AZ 86401-5069

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1205725686

Ethan Perry Wright, DO's National Provider Identifier is 1205725686, issued on Jul 1, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Kingman, AZ. The record was last updated on Aug 13, 2025.