Individual
DR. JAMES KEITH HUNTER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1741 S 15TH ST, OZARK, MO 65721-9030
(417) 269-2215
(417) 269-2427
Mailing address
PO BOX 4046, SPRINGFIELD, MO 65808-4046
(417) 269-2215
(417) 269-2427
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R2A41
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08481-016
BLUE CROSS BLUE SHIELD
MO
01
—
10001183400
COMMUNITY HEALTH PLAN
MO
01
—
1378074
UNITED HEALTH CARE
MO
01
—
1904839
IOWA MEDICAID
IA
05
—
201280609
—
MO
01
—
44053782613
NEBRASKA MEDICAID
NE
01
—
940868
FIRST HEALTH
MO
Enumeration date
07/29/2005
Last updated
02/01/2013
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