Provider Demographics
NPI:1225106867
Name:HUNT, KEVIN JAMES (MD)
Entity Type:Individual
Prefix:
First Name:KEVIN
Middle Name:JAMES
Last Name:HUNT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2447 WHITNEY AVE
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06518-3211
Mailing Address - Country:US
Mailing Address - Phone:203-288-5558
Mailing Address - Fax:203-288-8651
Practice Address - Street 1:2447 WHITNEY AVE
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06518-3211
Practice Address - Country:US
Practice Address - Phone:203-288-5558
Practice Address - Fax:203-288-8651
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2013-05-22
Deactivation Date:2011-04-29
Deactivation Code:
Reactivation Date:2013-05-22
Provider Licenses
StateLicense IDTaxonomies
CT18057207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
B37692Medicare UPIN