Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 7225 | KY |
Y | 213EG0000X | General Practice | 7225 | KY |
NPI | 1972652642 |
---|---|
Provider Name | Dr. Michael L. Hunt |
First Address | Louisville, KY 40214-1424 |
Second Address | Bardstown, KY 40004-2060 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2007 |
Last Update Date | 11/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0134459000 | (05) | WV |