=====================================================
General NPI Number Information
=====================================================
NPI Number | 1740578301
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | STEPHANIE HUTCHISON MD PSC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/18/2011
-----------------------------------------------------
Last Update Date | 07/18/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 613 23RD ST SUITE 130
-----------------------------------------------------
City | ASHLAND
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 41101-2878
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 606-326-9833
-----------------------------------------------------
Fax | 606-326-9843
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 613 23RD ST SUITE 130
-----------------------------------------------------
City | ASHLAND
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 41101-2878
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 606-326-9833
-----------------------------------------------------
Fax | 606-326-9843
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHYSICIAN
-----------------------------------------------------
Name | STEPHANIE HUTCHISON
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 606-326-9833
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207V00000X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Physician
-----------------------------------------------------
License Number | 43802
-----------------------------------------------------
License Number State | KY
-----------------------------------------------------