Doctor Name: | KELLY R HUTSON |
NPI Number: | 1891866042 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | 01-04831 |
Business Practice Address: | 907 N Harris Dr B Dexter, MO - 638412713 |
Business Phone Number: | 5736241935 |
Business Fax Number: | |
Mailing Address: | 1006 W Grant St, DEXTER |
State: | MO |
Postal Code: | 638411828 |
Phone Number: | 5736145139 |
Fax Number: | |
NPI Enumeration Date: | 11/10/2006 |
NPI Last Update Date: | 03/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 01-04831 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KS |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |