Provider Demographics
NPI:1043518053
Name:HUNT, COURTNEY KAY
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:KAY
Last Name:HUNT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 367
Mailing Address - Street 2:
Mailing Address - City:DIAMONDVILLE
Mailing Address - State:WY
Mailing Address - Zip Code:83116-0367
Mailing Address - Country:US
Mailing Address - Phone:307-877-1321
Mailing Address - Fax:
Practice Address - Street 1:1038 SOUTH WASHINGTON
Practice Address - Street 2:
Practice Address - City:AFTON
Practice Address - State:WY
Practice Address - Zip Code:83110
Practice Address - Country:US
Practice Address - Phone:307-877-1321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-01
Last Update Date:2011-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator