Most Relevant Information
Provider Data
| NPI Number: | 1003509084 |
| Provider Name: | KATIE ANN HUTTO RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 124813 |
Most Important Dates
| Enumeration Date: | 05/26/2023 |
| Last Updated: | 05/26/2023 |
Provider Practice Location
121 COX ST
BENTON
AR
720154611
Practice Location Phone/Fax
| Phone: | 5017760691 |
| Fax: |
Provider Mailing Location
435 KETTLE RD
MALVERN
AR
721047300
Provider Mailing Phone/Fax
| Phone: | 5014251178 |
| Fax: |