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NPI Code Detail

MEDICARE: DR. KATHLEEN B HUDSON MD

MEDICARE: DR. KATHLEEN B HUDSON MD
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
12085R0202XDiagnostic Radiology PhysicianMD20866TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588667786
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHLEEN B HUDSON MD
Provider Business Mailing Address
First Line : 5401 KINGSTON PIKE
Second Line : STE 540
City : KNOXVILLE
State : TN
Zip : 37919-5054
Country : US
Telephone Number : 865-584-7376
Fax Number : 865-584-8935
Provider Business Practice Location Address
First Line : 1924 ALCOA HWY
Second Line :
City : KNOXVILLE
State : TN
Zip : 37920-1511
Country : US
Telephone Number : 865-544-9060
Fax Number : 865-544-8435
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 07/08/2007

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