Healthcare Provider Details

I. General information

NPI: 1134065980
Provider Name (Legal Business Name): KELE ELIZABETH HUNT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 TIMBER DR E STE 120
GARNER NC
27529-7883
US

IV. Provider business mailing address

2813 WHAKATANE LN
FUQUAY VARINA NC
27526-3840
US

V. Phone/Fax

Practice location:
  • Phone: 615-560-6622
  • Fax:
Mailing address:
  • Phone: 919-441-8140
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: