Healthcare Provider Details

I. General information

NPI: 1316156375
Provider Name (Legal Business Name): CAROLYN KAY HUNTER RN, CNS, RX
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

921 NE 13TH ST
OKLAHOMA CITY OK
73104-5007
US

IV. Provider business mailing address

15705 SUMMIT PARKE DR
EDMOND OK
73013-1366
US

V. Phone/Fax

Practice location:
  • Phone: 405-270-0501
  • Fax: 405-290-1897
Mailing address:
  • Phone: 405-812-5705
  • Fax: 405-290-1897

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SX0200X
TaxonomyOncology Clinical Nurse Specialist
License NumberR0036280
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: