Healthcare Provider Details

I. General information

NPI: 1083545024
Provider Name (Legal Business Name): HUNTER INTEGRATIVE MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3151 BROCKWAY RD STE 122
WATERLOO IA
50701-5103
US

IV. Provider business mailing address

3151 BROCKWAY RD STE 122
WATERLOO IA
50701-5103
US

V. Phone/Fax

Practice location:
  • Phone: 319-251-5154
  • Fax: 319-204-3985
Mailing address:
  • Phone: 319-251-5154
  • Fax: 319-204-3985

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. VIOLET KYAKUMANYA HUNTER
Title or Position: PRESIDENT
Credential: MD
Phone: 319-251-5154