Provider Demographics
NPI:1821184029
Name:HUNT, DENNIS RYAN (ARNP)
Entity Type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:RYAN
Last Name:HUNT
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:MR
Other - First Name:RYAN
Other - Middle Name:
Other - Last Name:HUNT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ARNP
Mailing Address - Street 1:550 GAGE BLVD
Mailing Address - Street 2:STE 101
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-9532
Mailing Address - Country:US
Mailing Address - Phone:509-942-3627
Mailing Address - Fax:509-627-2983
Practice Address - Street 1:780 SWIFT BLVD
Practice Address - Street 2:KADLEC FAMILY MEDICINE RESIDENCY
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352
Practice Address - Country:US
Practice Address - Phone:509-942-2516
Practice Address - Fax:509-942-3218
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30007093363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9647165Medicaid
WA0203555OtherL & I
WA0203555OtherLABOR AND INDUSTRIES
WA9392HUOtherREGENCE
WA911019392OtherCOMMERCIAL
WAQ59479Medicare UPIN
WA911019392OtherCOMMERCIAL
WA9647165Medicaid