Provider Demographics
NPI:1316162696
Name:HUTCHINS, BRADLEY JOSEPH (MPAS, PA-C)
Entity type:Individual
Prefix:MR
First Name:BRADLEY
Middle Name:JOSEPH
Last Name:HUTCHINS
Suffix:
Gender:M
Credentials:MPAS, PA-C
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Mailing Address - Street 1:100 MEDICAL CENTER DR
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:KY
Mailing Address - Zip Code:42445-2430
Mailing Address - Country:US
Mailing Address - Phone:270-365-0300
Mailing Address - Fax:270-365-0307
Practice Address - Street 1:550 US HIGHWAY 62 W
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:KY
Practice Address - Zip Code:42445-2435
Practice Address - Country:US
Practice Address - Phone:270-365-9599
Practice Address - Fax:888-814-0944
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
363A00000X
KYPA 305363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1891207460Medicaid