Provider Demographics
NPI:1043559818
Name:HUNT, DEBRA HARRIMAN
Entity Type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:HARRIMAN
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 1:220 MAIN STREET LOOP
Mailing Address - Street 2:SUITE A
Mailing Address - City:KENAI
Mailing Address - State:AK
Mailing Address - Zip Code:99611-7724
Mailing Address - Country:US
Mailing Address - Phone:907-335-2008
Mailing Address - Fax:907-335-4673
Practice Address - Street 1:220 MAIN STREET LOOP
Practice Address - Street 2:SUITE A
Practice Address - City:KENAI
Practice Address - State:AK
Practice Address - Zip Code:99611-7724
Practice Address - Country:US
Practice Address - Phone:907-335-2008
Practice Address - Fax:907-335-4673
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-13
Last Update Date:2013-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1518179407171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator