Basic Information
Provider Information
NPI: 1164440319
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HUNT
FirstName: BRIAN
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 325 MAINE ST
Address2:  
City: LAWRENCE
State: KS
PostalCode: 660441360
CountryCode: US
TelephoneNumber: 7855056100
FaxNumber: 7855052874
Practice Location
Address1: 325 MAINE ST
Address2:  
City: LAWRENCE
State: KS
PostalCode: 660441360
CountryCode: US
TelephoneNumber: 7855056100
FaxNumber: 7855052874
Other Information
ProviderEnumerationDate: 07/17/2006
LastUpdateDate: 03/17/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X4-23982KSN Allopathic & Osteopathic PhysiciansEmergency Medicine 
207R00000X20113-02022NCN Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000X2013-02022NCN Allopathic & Osteopathic PhysiciansHospitalist 
207R00000X423982KSY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


Home