Healthcare Provider Details

I. General information

NPI: 1144329699
Provider Name (Legal Business Name): KATHRYN LOUISE HUNT R.D., C.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 SAND POINT WAY NE
SEATTLE WA
98105-3901
US

IV. Provider business mailing address

3612 NW 65TH CT
SEATTLE WA
98117-6013
US

V. Phone/Fax

Practice location:
  • Phone: 206-987-6758
  • Fax:
Mailing address:
  • Phone: 206-789-9712
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1004X
TaxonomyPediatric Nutrition Registered Dietitian
License NumberDI00000204
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: