Provider Demographics
NPI:1972651487
Name:VANNHUNT AND ASSOCIATES
Entity Type:Organization
Organization Name:VANNHUNT AND ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:VANNHUNT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-790-3838
Mailing Address - Street 1:5860 FARINGDON PL
Mailing Address - Street 2:SUITE1
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-3931
Mailing Address - Country:US
Mailing Address - Phone:919-790-3838
Mailing Address - Fax:919-873-0959
Practice Address - Street 1:5860 FARINGDON PL
Practice Address - Street 2:SUITE1
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-3931
Practice Address - Country:US
Practice Address - Phone:919-790-3838
Practice Address - Fax:919-873-0959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3929235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7210864Medicaid
NC10395OtherBCBSNC