Healthcare Provider Details

I. General information

NPI: 1255037552
Provider Name (Legal Business Name): MICHELLE RENEE HOTCHKIN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2023
Last Update Date: 02/07/2023
Certification Date: 02/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

327 N MASSACHUSETTS ST
WINFIELD KS
67156-1849
US

IV. Provider business mailing address

PO BOX 624
WINFIELD KS
67156-0624
US

V. Phone/Fax

Practice location:
  • Phone: 316-644-2702
  • Fax:
Mailing address:
  • Phone: 316-644-2702
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WN0300X
TaxonomyNephrology Registered Nurse
License Number73070
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: