Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kellen Douglas Wright, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1568164028

Kellen Douglas Wright, MD is an Internal Medicine in Maywood, Illinois. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 2023, 3 years ago. Licensed in Illinois.

Years since qualifying
3
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
IL
In the registry since
2023
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2160 S 1st Ave
Maywood, IL 60153-3328
Phone: (888) 584-7888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 125.081299 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1568164028
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 20, 2023
Last updated in NPPESMay 22, 2023
Certification dateMay 22, 2023
Mailing address2160 S 1st Ave, Maywood, IL 60153-3328

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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