Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 18057 | CT |
NPI | 1225106867 |
---|---|
Provider Name | Kevin James Hunt |
First Address | Hamden, CT 06518-3211 |
Second Address | Hamden, CT 06518-3211 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2006 |
Last Update Date | 22/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B37692 | (02) |