Healthcare Provider Details

I. General information

NPI: 1982309944
Provider Name (Legal Business Name): JEFFREY ALLEN HUTCHENS MD, PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2023
Last Update Date: 03/31/2023
Certification Date: 03/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

740 SOUTH LIMESTONE ROOM A301
LEXINGTON KY
40536-0293
US

IV. Provider business mailing address

740 SOUTH LIMESTONE ROOM A301
LEXINGTON KY
40536-0293
US

V. Phone/Fax

Practice location:
  • Phone: 859-323-8970
  • Fax: 859-257-4682
Mailing address:
  • Phone: 859-323-8970
  • Fax: 859-257-4682

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: