MEDICARE: MARC K HUTCHISON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	R9B18	MO
2	207L00000X	Anesthesiology Physician	04-18866	KS
3	2083P0500X	Preventive Medicine/Occupational Environmental Medicine Physician	R9B18	MO
4	2083P0500X	Preventive Medicine/Occupational Environmental Medicine Physician	04-18866	KS
5	2083X0100X	Occupational Medicine Physician	R9B18	MO

General Provider Information

NPI Number	:	1023191012
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARC K HUTCHISON M.D.

Provider Business Mailing Address
First Line	:	2700 CLAY EDWARDS DR STE 120
Second Line	:
City	:	NORTH KANSAS CITY
State	:	MO
Zip	:	64116-3268
Country	:	US
Telephone Number	:	816-346-7400
Fax Number	:	816-346-7104

Provider Business Practice Location Address
First Line	:	2700 CLAY EDWARDS DR STE 120
Second Line	:
City	:	NORTH KANSAS CITY
State	:	MO
Zip	:	64116-3268
Country	:	US
Telephone Number	:	816-346-7400
Fax Number	:	816-346-7104

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/23/2006
Last Update Date	:	04/24/2019

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