Individual
LARRY D. HUTCHINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 N EAGLE CREEK DR, SUITE 250, LEXINGTON, KY 40509-1827
(859) 258-5141
(859) 258-5168
Mailing address
120 N EAGLE CREEK DR, SUITE 250, LEXINGTON, KY 40509-1827
(859) 258-5141
(859) 258-5168
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20191
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
370009198
RR MEDICARE PIN
GA
01
—
37903705
MEDICAID LAB GRP
KY
01
—
4000501
MEDICARE LAB GRP
KY
05
—
64201916
—
KY
01
—
CB5773
RR MEDICARE GRP
GA
Enumeration date
07/13/2006
Last updated
05/20/2019
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