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NPI Code Detail

MEDICARE: MRS. KIMBERLY S HUNTER RN

MEDICARE: MRS. KIMBERLY S HUNTER RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WC0400XCase Management Registered Nurse13496AK
2163WA0400XAddiction (Substance Use Disorder) Registered NurseRN.205081OH

General Provider Information

NPI Number : 1043430523
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KIMBERLY S HUNTER RN
Provider Business Mailing Address
First Line : PO BOX 1769
Second Line :
City : PETERSBURG
State : AK
Zip : 99833-1769
Country : US
Telephone Number : 907-772-2020
Fax Number : 907-772-2021
Provider Business Practice Location Address
First Line : 2065 STONERIDGE DR
Second Line :
City : CIRCLEVILLE
State : OH
Zip : 43113-8956
Country : US
Telephone Number : 740-500-1391
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2007
Last Update Date : 05/09/2024

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