Healthcare Provider Details

I. General information

NPI: 1346691896
Provider Name (Legal Business Name): KELLY HUNT APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2016
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1264 BAY DALE DR
ARNOLD MD
21012-2325
US

IV. Provider business mailing address

1100 BUSINESS PKWY S STE 1
WESTMINSTER MD
21157-3048
US

V. Phone/Fax

Practice location:
  • Phone: 410-757-0027
  • Fax:
Mailing address:
  • Phone: 410-702-0921
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR182374
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR182374
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: