person
Keith Leon Hutchins JR., PA-C,DHSC
Surgical Physician Assistant in Roanoke Rapids, North Carolina
NPI 1376536714

Keith Leon Hutchins JR. is a Surgical Physician Assistant based in Greenville, NC and is specialized in Surgical. Keith Leon Hutchins JR. practices in Roanoke Rapids, NC and has the professional credentials of PA-C,DHSC. The NPI Number for Keith Leon Hutchins JR. is 1376536714 and holds a License No. 0010-00581 (North Carolina).

The current practice location address for Keith Leon Hutchins JR. is 171 Nc Highway 125, Roanoke Rapids, NC and can be reached out via phone at 252-537-5631 and via fax at 252-537-7198.

Location: 171 Nc Highway 125, Roanoke Rapids, NC, 27834-2818
person
Provider Profile Details
NPI Number
1376536714
Provider Name
Keith Leon Hutchins JR.
Credential
PA-C,DHSC
Provider Entity Type
Individual
Gender
Male
Address
171 Nc Highway 125, Roanoke Rapids, NC, 27834-2818
Phone Number
252-537-5631
Fax Number
252-537-7198
Provider Enumeration Date
08/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0010-00581 01 NC STATE LICENSE
1376536714 05 NC
1009 01 SC STATE LICENSE FOR PA'S
institution
Provider Business Practice Location Address Details
Address
171 Nc Highway 125
City
State
Zip
27870-6460
Phone Number
252-537-5631
Fax Number
252-537-7198
person
Provider Business Mailing Address Details
Address
171 Nc Highway 125
City
State
Zip
27870-6460
Phone Number
252-537-5631
Fax Number
252-537-7198
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
0010-00581 (North Carolina)
Definition
Definition to come...
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