Provider Demographics
NPI:1659315364
Name:HUNT, KATHRYN H (PT)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:H
Last Name:HUNT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:S
Other - Last Name:HUNT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:4124 SPRINGWATER DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40515-6030
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1868 PLAUDIT PL
Practice Address - Street 2:SUITE B
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-2429
Practice Address - Country:US
Practice Address - Phone:859-264-0512
Practice Address - Fax:859-264-0595
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2015-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY002258225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000942320OtherBCBS
KYK074004Medicare PIN