Provider Demographics
NPI:1740578301
Name:STEPHANIE HUTCHISON MD PSC
Entity Type:Organization
Organization Name:STEPHANIE HUTCHISON MD PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HUTCHISON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:606-326-9833
Mailing Address - Street 1:613 23RD ST
Mailing Address - Street 2:SUITE 130
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41101-2878
Mailing Address - Country:US
Mailing Address - Phone:606-326-9833
Mailing Address - Fax:606-326-9843
Practice Address - Street 1:613 23RD ST
Practice Address - Street 2:SUITE 130
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41101-2878
Practice Address - Country:US
Practice Address - Phone:606-326-9833
Practice Address - Fax:606-326-9843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-18
Last Update Date:2011-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY43802207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty