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Individual

KATIE ANN HUTTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
121 COX ST, BENTON, AR 72015-4611
(501) 776-0691
Mailing address
435 KETTLE RD, MALVERN, AR 72104-7300
(501) 425-1178

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
124813
AR

Other

Enumeration date
05/26/2023
Last updated
05/26/2023
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