Individual
MRS. KATHLEEN P HUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1441 AVOCADO AVE, SUITE 309, NEWPORT BEACH, CA 92660
(949) 644-8556
(949) 644-6318
Mailing address
1441 AVOCADO AVE, SUITE 309, NEWPORT BEACH, CA 92660
(949) 644-8556
(949) 644-6318
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G71065
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G710650
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
10/05/2006
Last updated
11/16/2010
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