Kelly E Hunter, M.D.
Individual provider Active NPI Family Medicine Physician · Tuscaloosa, AL
NPI 1235198318 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1235198318
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 17419 (AL)
- Practice address
- 750 5TH Ave E
Tuscaloosa, AL 35401-7421 - Phone
- (205) 348-6262
- Fax
- (205) 348-0630
- NPI assigned
- Mar 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17419 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Physician Group, LLP | Current |
Accepting new patients | |
| The Board of Trustees of the University of Alabama | Past | Accepting new patients | |
| The Radiology Clinic LLC | Past | Accepting new patients |
Locations
315 Main Ave
Northport, AL 35476
Phone (205) 344-9019
1655 McFarland Blvd N
Tuscaloosa, AL 35406
Phone (205) 301-8930
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 17419 | AL | Yes |
Addresses
Primary practice location
750 5TH Ave E
Tuscaloosa, AL 35401-7421
Mailing address
750 5TH Ave E
Tuscaloosa, AL 35401-7421
Phone (205) 348-6262
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 156604 | Medicaid | AL |
Other providers in Tuscaloosa, AL
- Cindy Huggins
- Larry Neal Huggins
- Pamela Hughes
- Debra S Humphrey
- Richard M. Humphrey
- Lakeshia Hardy Hunter
- Mary Donald Hunter
- Jinwoo Hur
- Aldin Husicic
- Stephanie L Hust
All providers in Tuscaloosa, AL · Family Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.