Provider Demographics
NPI:1023191012
Name:HUTCHISON, MARC K (MD)
Entity Type:Individual
Prefix:
First Name:MARC
Middle Name:K
Last Name:HUTCHISON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2700 CLAY EDWARDS DR STE 120
Mailing Address - Street 2:
Mailing Address - City:NORTH KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116-3268
Mailing Address - Country:US
Mailing Address - Phone:816-346-7400
Mailing Address - Fax:816-346-7104
Practice Address - Street 1:2700 CLAY EDWARDS DR STE 120
Practice Address - Street 2:
Practice Address - City:NORTH KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116-3268
Practice Address - Country:US
Practice Address - Phone:816-346-7400
Practice Address - Fax:816-346-7104
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2019-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR9B18207L00000X, 2083P0500X, 2083X0100X
KS04-18866207L00000X, 2083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
B91055Medicare UPIN