Healthcare Provider Details

I. General information

NPI: 1144582081
Provider Name (Legal Business Name): KIMBERLY ANN HUNT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2012
Last Update Date: 08/01/2024
Certification Date: 08/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1423 MAGNOLIA AVE
CHICO CA
95926-3226
US

IV. Provider business mailing address

5653 FRIST BLVD STE 738
HERMITAGE TN
37076-2066
US

V. Phone/Fax

Practice location:
  • Phone: 530-332-5010
  • Fax:
Mailing address:
  • Phone: 615-874-8006
  • Fax: 615-874-0182

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberC196426
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number54306
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: