Healthcare Provider Details

I. General information

NPI: 1144483561
Provider Name (Legal Business Name): CHRISTIANE KELLY HUNT DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2008
Last Update Date: 05/21/2021
Certification Date: 05/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

262 NEIL AVE SUITE 220
COLUMBUS OH
43215-7309
US

IV. Provider business mailing address

262 NEIL AVE STE 220
COLUMBUS OH
43215-7310
US

V. Phone/Fax

Practice location:
  • Phone: 614-464-3937
  • Fax: 614-464-0088
Mailing address:
  • Phone: 614-464-3937
  • Fax: 614-464-0088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number34010223
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number2014-00549
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number0102203080
License Number StateVA
# 4
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberH0073793
License Number StateMD
# 5
Primary TaxonomyY
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License Number34.010223
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: