Provider Demographics
NPI:1174617153
Name:HUNTER, MICHAEL W
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:W
Last Name:HUNTER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:238 E LOWRY LANE
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-2615
Mailing Address - Country:US
Mailing Address - Phone:859-277-2581
Mailing Address - Fax:859-277-6727
Practice Address - Street 1:372 SOUTHLAND DRIVE
Practice Address - Street 2:
Practice Address - City:LEX
Practice Address - State:KY
Practice Address - Zip Code:40503
Practice Address - Country:US
Practice Address - Phone:859-277-2581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY90000290Medicaid
4627800001Medicare ID - Type Unspecified