MEDICARE: DR. KIMBERLY ANN HUNT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	207V00000X	Obstetrics & Gynecology Physician	C196426	CA
3	207V00000X	Obstetrics & Gynecology Physician	54306	TN

General Provider Information

NPI Number	:	1144582081
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KIMBERLY ANN HUNT M.D.

Provider Business Mailing Address
First Line	:	5653 FRIST BLVD STE 738
Second Line	:
City	:	HERMITAGE
State	:	TN
Zip	:	37076-2066
Country	:	US
Telephone Number	:	615-874-8006
Fax Number	:	615-874-0182

Provider Business Practice Location Address
First Line	:	1423 MAGNOLIA AVE
Second Line	:
City	:	CHICO
State	:	CA
Zip	:	95926-3226
Country	:	US
Telephone Number	:	530-332-5010
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2012
Last Update Date	:	08/01/2024

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