Provider Demographics
NPI:1356106405
Name:HYLTON, DARREN HUNTER
Entity type:Individual
Prefix:
First Name:DARREN
Middle Name:HUNTER
Last Name:HYLTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:HUNTER
Other - Middle Name:
Other - Last Name:HYLTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1830 DESTINY LN STE 110
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42104-1088
Mailing Address - Country:US
Mailing Address - Phone:270-904-6567
Mailing Address - Fax:
Practice Address - Street 1:1830 DESTINY LN STE 110
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42104-1088
Practice Address - Country:US
Practice Address - Phone:270-904-6567
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-19
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program