Provider Demographics
NPI:1326866625
Name:HUNTER, KAREN DENISE (CHW)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:DENISE
Last Name:HUNTER
Suffix:
Gender:F
Credentials:CHW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2315 RATCLIFFE AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40210-2255
Mailing Address - Country:US
Mailing Address - Phone:502-524-6589
Mailing Address - Fax:
Practice Address - Street 1:2315 RATCLIFFE AVE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40210-2255
Practice Address - Country:US
Practice Address - Phone:502-524-6589
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-26
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKCCHW12408417172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker