MEDICARE: KURT L HUNTER M.D.

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
1	207Q00000X	Family Medicine Physician	6113A	WY

General Provider Information

NPI Number	:	1861608739
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KURT L HUNTER M.D.

Provider Business Mailing Address
First Line	:	2751 COMMERCIAL WAY
Second Line	:
City	:	ROCK SPRINGS
State	:	WY
Zip	:	82901-4753
Country	:	US
Telephone Number	:	307-362-7719
Fax Number	:

Provider Business Practice Location Address
First Line	:	2751 COMMERCIAL WAY
Second Line	:
City	:	ROCK SPRINGS
State	:	WY
Zip	:	82901-4753
Country	:	US
Telephone Number	:	307-362-7719
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2007
Last Update Date	:	07/08/2007

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