Individual
MARY KATHLEEN HUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
304 N ST, STE 1, ELKTON, MD 21922-0446
(410) 398-2112
(410) 620-0047
Mailing address
304 N ST, STE 1, ELKTON, MD 21922-0446
(410) 398-2112
(410) 620-0047
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA0819
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R8920001
FEDERAL EMPLOYEE PROG
—
Enumeration date
10/19/2006
Last updated
07/08/2007
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