Provider Demographics
NPI:1144483561
Name:HUNT, CHRISTIANE KELLY (DO)
Entity type:Individual
Prefix:DR
First Name:CHRISTIANE
Middle Name:KELLY
Last Name:HUNT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:262 NEIL AVE STE 220
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-7310
Mailing Address - Country:US
Mailing Address - Phone:614-464-3937
Mailing Address - Fax:614-464-0088
Practice Address - Street 1:262 NEIL AVE
Practice Address - Street 2:SUITE 220
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-7309
Practice Address - Country:US
Practice Address - Phone:614-464-3937
Practice Address - Fax:614-464-0088
Is Sole Proprietor?:No
Enumeration Date:2008-07-07
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34010223207W00000X
NC2014-00549207W00000X
VA0102203080207W00000X
MDH0073793207W00000X
OH34.010223207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0538957 00Medicaid
VA1144483561Medicaid
VA1144483561Medicaid
DC240826ZA9WMedicare PIN
OHH461530Medicare PIN