Hutcheson, Kelley A

Hutcheson, Kelley A is an individual health care provider with primary practice located at 4716 Alliance Blvd, Pavilion Ii Suite 310, Plano TX 75093-1010. She recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as her primary health care specialty. Hutcheson, Kelley A can be contacted via phone (469) 800-6200.

Contact Information

Primary practice address
4716 Alliance Blvd, Pavilion Ii Suite 310 Plano TX 75093-1010
Phone: (469) 800-6200
Fax: (469) 800-6210
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X P6646 Texas
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 2011015965 Missouri

Profile Details

NPI number 1518162650
LBN Legal business name Hutcheson, Kelley A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2007
Last updated Sep 26th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518162650 NPPES
Texas MEDICAID 3342834-01

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