Individual
DR. KIMBERLY SUE HUNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
200 S DEYARMOND ST, STE C, MIO, MI 48647-9108
(989) 826-3333
Mailing address
1386 CHEVIOT TRL, GRAYLING, MI 49738-9067
(989) 329-9733
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301009407
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0P53580
MEDICARE PTAN GROUP
MI
01
—
950F802520
BC/BS PIN
MI
01
—
P53580001
MEDICARE PTAN INDIVIDUAL
MI
Enumeration date
06/14/2007
Last updated
11/21/2017
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