Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | E4522 | AR |
NPI | 1063441699 |
---|---|
Provider Name | Dr. Regina Kay Pondexter Hunter |
First Address | Little Rock, AR 72204-2486 |
Second Address | Little Rock, AR 72204-2486 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2006 |
Last Update Date | 06/10/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5G534 | MEDICARE ID (01) | AR |
I44789 | (02) | AR |