Provider Demographics
NPI:1184942880
Name:HUNT, KIMBERLY MICHELE (ARNP)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:MICHELE
Last Name:HUNT
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:KIMBERLY
Other - Middle Name:MICHELE
Other - Last Name:BROTHERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:1001 EAST SUPERIOR STREET
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55802
Mailing Address - Country:US
Mailing Address - Phone:218-249-6500
Mailing Address - Fax:218-249-6501
Practice Address - Street 1:1001 EAST SUPERIOR STREET
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55802
Practice Address - Country:US
Practice Address - Phone:218-249-6500
Practice Address - Fax:218-249-6501
Is Sole Proprietor?:No
Enumeration Date:2010-05-06
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9269307363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP01115898OtherMEDICARE RAILROAD
FL002242500Medicaid
FLY0E27OtherBCBS-FL
FL002242500Medicaid