Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRADFORD ELROD MUTCHLER, M.D.
Active Sole ProprietorDR. BRADFORD ELROD MUTCHLER, M.D. is a Occupational Medicine healthcare provider located in BEAVER DAM, Kentucky. NPI 1679792196 is currently active in the NPPES registry. Verify at CMS.
Occupational Medicine · BEAVER DAM, KY
Registration Details
- NPI Number
- 1679792196
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 24, 2007 (19.327050072604 yrs)
- Last Updated
- Apr 15, 2009
- License
-
13394 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1219 N. MAIN STBEAVER DAM, KY, 42320Browse KY providers · Browse ZIP 42320
- Phone
- 2702741800
- Fax
- 2702745600
- Primary Specialty
-
Occupational Medicine
2083X0100X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.