Individual
KELLY R HUTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
907 N HARRIS DR, B, DEXTER, MO 63841-2713
(573) 624-1935
Mailing address
1006 W GRANT ST, DEXTER, MO 63841-1828
(573) 614-5139
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
01-04831
KS
111N00000X
Chiropractor
Primary
2005040459
MO
Other
Enumeration date
11/10/2006
Last updated
03/21/2008
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