Healthcare Provider Details

I. General information

NPI: 1295813533
Provider Name (Legal Business Name): DANIEL VERN HUNT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/02/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 N LORETTO RD STE 600
LEBANON KY
40033-1634
US

IV. Provider business mailing address

330 SEVEN SPRINGS WAY
BRENTWOOD TN
37027-5098
US

V. Phone/Fax

Practice location:
  • Phone: 270-692-5254
  • Fax: 270-699-4626
Mailing address:
  • Phone: 615-920-7906
  • Fax: 615-920-8938

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number32357
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: