Individual
KELCI HUNTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
17235 N 75TH AVE STE C125, GLENDALE, AZ 85308-0879
(623) 277-7761
Mailing address
17235 N 75TH AVE STE C125, GLENDALE, AZ 85308-0879
(623) 277-7761
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209012581
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20412
STATE LICENSE
TN
Enumeration date
02/13/2015
Last updated
09/13/2023
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