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Individual

KWEKU R HUTCHFUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4475 S EASTERN AVE, LAS VEGAS, NV 89119-7826
(702) 669-5944
(702) 258-8542
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 669-5944
(702) 258-8542

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9189
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2018508
NV
05
3102508
NV
01
370022007
RAILROAD MEDICARE
NV
Enumeration date
03/02/2006
Last updated
02/01/2017
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