Healthcare Provider Details

I. General information

NPI: 1780593152
Provider Name (Legal Business Name): AIDEN ALEXANDER KUTCHMA PA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

480 E JEFFERSON ST
BUTLER PA
16001-4783
US

IV. Provider business mailing address

1048 PASTURE DR
BADEN PA
15005-2726
US

V. Phone/Fax

Practice location:
  • Phone: 833-604-7214
  • Fax:
Mailing address:
  • Phone: 724-900-0057
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: