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NPI Code Detail

MEDICARE: KESHENA MARIE HUNTER

MEDICARE: KESHENA MARIE 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
1104100000XSocial Worker99130018AIN

General Provider Information

NPI Number : 1538957014
Entity Type Code : Individual
Provider Name (Legal Business Name) : KESHENA MARIE HUNTER
Provider Business Mailing Address
First Line : 322 W JEFFERSON ST
Second Line :
City : PLYMOUTH
State : IN
Zip : 46563-1734
Country : US
Telephone Number : 574-936-3377
Fax Number : 574-936-3910
Provider Business Practice Location Address
First Line : 322 W JEFFERSON ST
Second Line :
City : PLYMOUTH
State : IN
Zip : 46563-1734
Country : US
Telephone Number : 574-936-3377
Fax Number : 574-936-3910
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2025
Last Update Date : 04/25/2025

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Directions to “ KESHENA MARIE HUNTER ” Practice Location

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