Provider Demographics
NPI:1568215820
Name:HUTCHINSON, ABIDELL TAYLOR (DO)
Entity Type:Individual
Prefix:
First Name:ABIDELL
Middle Name:TAYLOR
Last Name:HUTCHINSON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 HILLCREST DR
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:KY
Mailing Address - Zip Code:41339-9694
Mailing Address - Country:US
Mailing Address - Phone:606-359-3434
Mailing Address - Fax:
Practice Address - Street 1:LAKE CUMBERLAND REGIONAL HOSPITAL
Practice Address - Street 2:305 LANGDON ST
Practice Address - City:SOMERSET
Practice Address - State:KY
Practice Address - Zip Code:42503
Practice Address - Country:US
Practice Address - Phone:606-679-7441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program