Organization
HUTCHINSON CLINIC, PA, INC.
Active
Parent organization
HUTCHINSON CLINIC P A INC
Other names
Hutchinson Clinic Diabetes Prevention Program
Organization subpart
Yes
Provider details
NPI number
Legal business name
HUTCHINSON CLINIC P A INC
Authorized official
BEVERLY ANN NAGENGAST (CREDENTIALING SPECIALIST)
(620) 694-4194
Entity
Organization
Contact information
Practice address
2101 N WALDRON ST, HUTCHINSON, KS 67502-1197
(620) 694-4194
(620) 694-2128
Mailing address
2101 N WALDRON ST, HUTCHINSON, KS 67502-1197
(620) 694-4194
(620) 694-2128
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
—
—
163WD0400X
Diabetes Educator Registered Nurse
—
—
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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