Healthcare Provider Details

I. General information

NPI: 1003618422
Provider Name (Legal Business Name): KADIAN HUTCHINSON NCS, PPD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2025
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

940 E 77TH ST # 2
BROOKLYN NY
11236-3826
US

IV. Provider business mailing address

940 E 77TH ST # 2
BROOKLYN NY
11236-3826
US

V. Phone/Fax

Practice location:
  • Phone: 347-280-4204
  • Fax: 347-280-4204
Mailing address:
  • Phone: 347-280-4204
  • Fax: 347-280-4204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: