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NPI Code Detail

MEDICARE: KENYA HUNTER

MEDICARE: KENYA HUNTER
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1144674722
Entity Type Code : Organization
Provider Name (Legal Business Name) : KENYA HUNTER
Provider Business Mailing Address
First Line : 5841 GOLD HORIZON ST
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89031-6882
Country : US
Telephone Number : 213-670-0981
Fax Number : 702-917-2227
Provider Business Practice Location Address
First Line : 5841 GOLD HORIZON STREET
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89031
Country : US
Telephone Number : 702-917-2227
Fax Number : 702-802-2144
Authorized Official
Title or Position : SELF
Name : KENYA HUNTER
Credential :
Telephone Number : 213-570-0981
Provider Enumeration Date : 04/20/2016
Last Update Date : 04/20/2016

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Directions to “KENYA HUNTER ” Practice Location

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