Provider Demographics
NPI:1649050485
Name:HUNT, KIMEKA LASHAUNDA (MBA, MSW, LSW)
Entity type:Individual
Prefix:
First Name:KIMEKA
Middle Name:LASHAUNDA
Last Name:HUNT
Suffix:
Gender:F
Credentials:MBA, MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5362 RIPPLINGBROOK WAY
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46033-9187
Mailing Address - Country:US
Mailing Address - Phone:317-429-7205
Mailing Address - Fax:
Practice Address - Street 1:5362 RIPPLINGBROOK WAY
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46033-9187
Practice Address - Country:US
Practice Address - Phone:317-429-7205
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-29
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN99120863A104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker