Provider Demographics
NPI:1295813533
Name:HUNT, DANIEL VERN (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:VERN
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 1:330 SEVEN SPRINGS WAY
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5098
Mailing Address - Country:US
Mailing Address - Phone:615-920-7906
Mailing Address - Fax:615-920-8938
Practice Address - Street 1:420 N LORETTO RD STE 600
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:KY
Practice Address - Zip Code:40033-1634
Practice Address - Country:US
Practice Address - Phone:270-692-5254
Practice Address - Fax:270-699-4626
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY32357174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000051510OtherBLUE CROSS BLUE SHIELD
KY0900247OtherUNITED HEALTH CARE
KY64323579Medicaid
KY0000001OtherCIGNA
KY2434208000OtherPASSPORT ADVANTAGE
KY1061260OtherPASSPORT
KY000000051510OtherBLUE CROSS BLUE SHIELD
KY2434208000OtherPASSPORT ADVANTAGE