Provider Demographics
NPI:1043722846
Name:HUNT, KELLY DAWN (DNP, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:KELLY
Middle Name:DAWN
Last Name:HUNT
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720 COMMERCE ST
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-6710
Mailing Address - Country:US
Mailing Address - Phone:972-205-3443
Mailing Address - Fax:972-205-3444
Practice Address - Street 1:1720 COMMERCE ST
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-6710
Practice Address - Country:US
Practice Address - Phone:972-205-3443
Practice Address - Fax:972-205-3444
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-02
Last Update Date:2017-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP135681363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily