Healthcare Provider Details

I. General information

NPI: 1356261069
Provider Name (Legal Business Name): HAILEY GUNTER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2404 S QUILLAN PL
KENNEWICK WA
99338
US

IV. Provider business mailing address

1414 PERKINS AVE
RICHLAND WA
99354-3109
US

V. Phone/Fax

Practice location:
  • Phone: 509-221-1786
  • Fax: 509-221-1808
Mailing address:
  • Phone: 509-405-0058
  • Fax: 509-221-1808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number758798
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: