Healthcare Provider Details

I. General information

NPI: 1336959659
Provider Name (Legal Business Name): KATHRYN ADELE HUTCHINS DNP, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2025
Last Update Date: 01/09/2025
Certification Date: 01/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 1ST ST SW
ROCHESTER MN
55905-0001
US

IV. Provider business mailing address

4820 31ST AVE SW
ROCHESTER MN
55902-1763
US

V. Phone/Fax

Practice location:
  • Phone: 507-284-1111
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number1958287
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: