Individual
KENT S HUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7822 DAVENPORT ST, OMAHA, NE 68114-3629
(402) 391-4855
(402) 391-6818
Mailing address
7822 DAVENPORT ST, OMAHA, NE 68114-3629
(402) 391-4855
(402) 391-6818
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20332
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050060313
RR MEDICARE
—
01
—
270609
MEDICARE
—
Enumeration date
09/28/2006
Last updated
10/28/2016
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