Active NPI
Kenneth Eugene Wright
- Athletic Trainer
- Tuscaloosa, AL
National Provider Identifier
1033669809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 107
- Practice address
- 101 Doster Hall University Blvd
The University of Alabama
Tuscaloosa, AL 35487-0001 - Phone
- (205) 348-4705
- Fax
- (205) 348-8721
- NPI assigned
- Oct 5, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 107 | AL | Primary |
Addresses
Primary practice location
101 Doster Hall University Blvd
The University of Alabama
Tuscaloosa, AL 35487-0001
Mailing address
3913 Greenside Ter
Hoover, AL 35226-6208
Phone (205) 454-7021
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107 | AL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475625600000",
"number": "1033669809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3913 GREENSIDE TER",
"city": "HOOVER",
"state": "AL",
"postal_code": "352266208",
"telephone_number": "205-454-7021",
"fax_number": "205-348-8721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 DOSTER HALL UNIVERSITY BLVD",
"address_2": "THE UNIVERSITY OF ALABAMA",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354870001",
"telephone_number": "205-348-4705",
"fax_number": "205-348-8721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "KENNETH",
"middle_name": "EUGENE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-05",
"last_updated": "2016-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AL",
"license": "107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tuscaloosa, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.