Doctor Name: | MISS KATHLEEN HUTSON |
NPI Number: | 1033507454 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 18316 Middlebelt Rd Livonia, MI - 481525007 |
Business Phone Number: | 2486159730 |
Business Fax Number: | |
Mailing Address: | 555 E William St, Apartment 9a ANN ARBOR |
State: | MI |
Postal Code: | 481042441 |
Phone Number: | 7042777710 |
Fax Number: | |
NPI Enumeration Date: | 01/07/2015 |
NPI Last Update Date: | 01/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |