Individual
DR. KELLI ANN HUTCHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 683-5278
(920) 686-9674
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
65468-20
WI
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
65468-20
WI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
65468-20
WI
Other
Enumeration date
07/08/2008
Last updated
02/20/2025
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