Individual
MS. VIVIAN T. HUTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD, FACHE
Contact information
Practice address
550 POPE AVE, MUNSON ARMY HEALTH CENTER, FORT LEAVENWORTH, KS 66027-2332
(913) 684-6420
(913) 684-6610
Mailing address
550 POPE AVE, MUNSON ARMY HEALTH CENTER, FORT LEAVENWORTH, KS 66027-2332
(913) 684-6420
(913) 684-6610
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT06320
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DT06320
TX STATE BOARD(DIETETICS)
TX
01
—
RD# 717994
COMMISSION (DIETETIC REG)
—
Enumeration date
11/09/2007
Last updated
11/09/2007
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