Provider Demographics
NPI:1255482261
Name:HUTCHINSON, JILL MCKEE (LAC, DIPL AC)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:MCKEE
Last Name:HUTCHINSON
Suffix:
Gender:F
Credentials:LAC, DIPL AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:870 MARKET ST.
Mailing Address - Street 2:SUITE 551
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-3016
Mailing Address - Country:US
Mailing Address - Phone:415-425-5124
Mailing Address - Fax:415-668-0409
Practice Address - Street 1:870 MARKET ST.
Practice Address - Street 2:SUITE 551
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-3016
Practice Address - Country:US
Practice Address - Phone:415-425-5124
Practice Address - Fax:415-668-0409
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 9206171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist