Provider Demographics
NPI:1477201648
Name:CARPENTER, HUNTER LEE
Entity Type:Individual
Prefix:
First Name:HUNTER
Middle Name:LEE
Last Name:CARPENTER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2054 MCCURDYSVILLE PIKE
Mailing Address - Street 2:
Mailing Address - City:RIVESVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:26588-8900
Mailing Address - Country:US
Mailing Address - Phone:304-278-9266
Mailing Address - Fax:
Practice Address - Street 1:2054 MCCURDYSVILLE PIKE
Practice Address - Street 2:
Practice Address - City:RIVESVILLE
Practice Address - State:WV
Practice Address - Zip Code:26588-8900
Practice Address - Country:US
Practice Address - Phone:304-278-9266
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-16
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant