Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 25487 | NE |
NPI | 1013179696 |
---|---|
Provider Name | Kathryn Ellen Hutchins |
First Address | Omaha, NE 68198-8102 |
Second Address | Omaha, NE 68118-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2008 |
Last Update Date | 09/07/2020 |