Provider Demographics
NPI:1508591488
Name:HUNT, KENSEY L (PHARMD)
Entity Type:Individual
Prefix:
First Name:KENSEY
Middle Name:L
Last Name:HUNT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:KENSEY
Other - Middle Name:L
Other - Last Name:GARRISON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:20931 MO 142
Mailing Address - Street 2:
Mailing Address - City:MYRTLE
Mailing Address - State:MO
Mailing Address - Zip Code:65778-8445
Mailing Address - Country:US
Mailing Address - Phone:573-660-3816
Mailing Address - Fax:
Practice Address - Street 1:1310 PREACHER ROE BLVD
Practice Address - Street 2:
Practice Address - City:WEST PLAINS
Practice Address - State:MO
Practice Address - Zip Code:65775-2938
Practice Address - Country:US
Practice Address - Phone:417-256-7114
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-23
Last Update Date:2022-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2022025937183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist