Individual
WILLIAM KENNETH HUTCHISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2701 13TH AVE S, FARGO, ND 58103-3602
(701) 234-3600
(701) 234-3515
Mailing address
2701 13TH AVE S, FARGO, ND 58103-3602
(701) 234-3600
(701) 234-3515
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01059605A
IN
208000000X
Pediatrics Physician
Primary
10772
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14490
—
ND
05
—
200341780
—
IN
Enumeration date
06/15/2006
Last updated
03/29/2022
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