Individual
MR. KENNETH COREY HUTCHINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
55 FOGG RD, WEYMOUTH, MA 02190-2432
(781) 624-8000
Mailing address
55 FOGG RD, WEYMOUTH, MA 02190-2432
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA4113
MA
Other
Enumeration date
02/04/2011
Last updated
02/04/2011
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