Provider Demographics
NPI:1114147998
Name:HUNTER, WILLIAM ALLEN (LPN)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:ALLEN
Last Name:HUNTER
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 PIGEON ROAD
Mailing Address - Street 2:
Mailing Address - City:AMMA
Mailing Address - State:WV
Mailing Address - Zip Code:25005
Mailing Address - Country:US
Mailing Address - Phone:304-565-3143
Mailing Address - Fax:
Practice Address - Street 1:2157 GREENBRIER ST
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25311-9623
Practice Address - Country:US
Practice Address - Phone:304-344-5924
Practice Address - Fax:304-344-3503
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV27252164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse