Hutchinson, Kenneth W

Hutchinson, Kenneth W is an individual health care provider with primary practice located at 17C Brentshire Square , Jackson TN 38305-2273. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Hutchinson, Kenneth W can be contacted via phone (731) 664-1717.

Contact Information

Primary practice address
17C Brentshire Square Jackson TN 38305-2273
Phone: (731) 664-1717
Fax: (731) 664-7114
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APN0000008921 Tennessee
Nursing Service Providers / Registered Nurse 163W00000X RN0000042871 Tennessee

Profile Details

NPI number 1093707051
LBN Legal business name Hutchinson, Kenneth W
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Feb 6th, 2024 - about 7 months 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 1093707051 NPPES
Tennessee MEDICAID 3602344
Tennessee MEDICAID Q008949

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