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NPI Code Detail

MEDICARE: KAMIIA HUDSON RN

MEDICARE: KAMIIA HUDSON RN
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
1163W00000XRegistered Nurse421122OH

General Provider Information

NPI Number : 1619415544
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAMIIA HUDSON RN
Provider Business Mailing Address
First Line : 7080 EASTLAWN DR
Second Line : APT 3
City : CINCINNATI
State : OH
Zip : 45237-4134
Country : US
Telephone Number : 513-604-9465
Fax Number :
Provider Business Practice Location Address
First Line : 4001 ROSSLYN DR
Second Line :
City : CINCINNATI
State : OH
Zip : 45209-1111
Country : US
Telephone Number : 513-272-0600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2017
Last Update Date : 02/11/2017

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