Provider Demographics
NPI:1538398714
Name:KATHERINE HUTCHINSON
Entity type:Organization
Organization Name:KATHERINE HUTCHINSON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:HUTCHINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-562-7769
Mailing Address - Street 1:16 HUTCHINSON RD
Mailing Address - Street 2:
Mailing Address - City:PERU
Mailing Address - State:ME
Mailing Address - Zip Code:04290-3045
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:16 HUTCHINSON RD
Practice Address - Street 2:
Practice Address - City:PERU
Practice Address - State:ME
Practice Address - Zip Code:04290-3045
Practice Address - Country:US
Practice Address - Phone:207-562-7769
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-08
Last Update Date:2009-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care