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NPI Code Detail

MEDICARE: MRS. KIELA RAE HUDGINS MSE, PLMHP

MEDICARE: MRS. KIELA RAE HUDGINS MSE, PLMHP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor10801NE

General Provider Information

NPI Number : 1477913226
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KIELA RAE HUDGINS MSE, PLMHP
Provider Business Mailing Address
First Line : 13435 A ST
Second Line :
City : OMAHA
State : NE
Zip : 68144-3658
Country : US
Telephone Number : 402-697-3923
Fax Number : 402-697-3924
Provider Business Practice Location Address
First Line : 13435 A ST
Second Line :
City : OMAHA
State : NE
Zip : 68144-3658
Country : US
Telephone Number : 402-697-3923
Fax Number : 402-697-3924
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2016
Last Update Date : 03/07/2016

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