Provider Demographics
NPI:1366232886
Name:HUNTER, DESTENEE KA'RIN
Entity type:Individual
Prefix:
First Name:DESTENEE
Middle Name:KA'RIN
Last Name:HUNTER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1411 W YOUNG ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74127-2721
Mailing Address - Country:US
Mailing Address - Phone:918-557-7784
Mailing Address - Fax:
Practice Address - Street 1:1411 W YOUNG ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74127-2721
Practice Address - Country:US
Practice Address - Phone:918-557-7784
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator