Healthcare Provider Details

I. General information

NPI: 1255482261
Provider Name (Legal Business Name): JILL MCKEE HUTCHINSON L.AC, DIPL. AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/16/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

870 MARKET ST. SUITE 551
SAN FRANCISCO CA
94102-3016
US

IV. Provider business mailing address

870 MARKET ST. SUITE 551
SAN FRANCISCO CA
94102-3016
US

V. Phone/Fax

Practice location:
  • Phone: 415-425-5124
  • Fax: 415-668-0409
Mailing address:
  • Phone: 415-425-5124
  • Fax: 415-668-0409

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC 9206
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: