Healthcare Provider Details

I. General information

NPI: 1255784047
Provider Name (Legal Business Name): CHADWICK HUNT APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2016
Last Update Date: 03/24/2021
Certification Date: 03/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UK HEALTHCARE-ICU 800 ROSE ST
LEXINGTON KY
40536
US

IV. Provider business mailing address

161 N EAGLE CREEK DR STE 400
LEXINGTON KY
40509-9038
US

V. Phone/Fax

Practice location:
  • Phone: 859-323-9057
  • Fax: 859-323-8502
Mailing address:
  • Phone: 859-226-0031
  • Fax: 859-226-0041

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number3010541
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number3010541
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: