Healthcare Provider Details

I. General information

NPI: 1518988161
Provider Name (Legal Business Name): VIRGINIA HUNT ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4171 WESTPORT RD
LOUISVILLE KY
40207-2739
US

IV. Provider business mailing address

4171 WESTPORT RD
LOUISVILLE KY
40207-2739
US

V. Phone/Fax

Practice location:
  • Phone: 502-896-8868
  • Fax: 502-895-8794
Mailing address:
  • Phone: 502-896-8868
  • Fax: 502-895-8794

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number683P
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: