Provider Demographics
NPI:1942532486
Name:HUNT, KAMRON R (OD)
Entity Type:Individual
Prefix:DR
First Name:KAMRON
Middle Name:R
Last Name:HUNT
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:1122 N DOUGLASS ST
Mailing Address - Street 2:
Mailing Address - City:MALDEN
Mailing Address - State:MO
Mailing Address - Zip Code:63863-1342
Mailing Address - Country:US
Mailing Address - Phone:573-276-3239
Mailing Address - Fax:573-276-2511
Practice Address - Street 1:1122 N DOUGLASS ST
Practice Address - Street 2:
Practice Address - City:MALDEN
Practice Address - State:MO
Practice Address - Zip Code:63863-1342
Practice Address - Country:US
Practice Address - Phone:573-276-3239
Practice Address - Fax:573-276-2511
Is Sole Proprietor?:No
Enumeration Date:2010-02-09
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010003758152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist