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Specialty details in registry · Hutchinson, KS

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At a glance

16 W 4Th Ave, Hutchinson, KS 67501-4800

NPPES record updated Jul 22, 2025. Public records can lag behind changes at a practice.

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Practice location

16 W 4Th Ave
Hutchinson, KS 67501-4800

Professional details: NPI, taxonomy & registry record

NPI1639051519

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 253Z00000X
Enumeration date: Jul 22, 2025
Record updated: Jul 22, 2025

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

251E00000X

Specialty details in registry

253Z00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

16 W 4Th Ave
Hutchinson, KS 67501-4800

Phone: (620) 615-7033

Mailing address

PO BOX 3036

HUTCHINSON, KS 675043036

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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