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NPI Code Detail

MEDICARE: KAYLA HUDSON

MEDICARE: KAYLA HUDSON
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
1106S00000XBehavior TechnicianKY

General Provider Information

NPI Number : 1811567613
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA HUDSON
Provider Business Mailing Address
First Line : 122 MUSTANG DR
Second Line :
City : SCOTTSVILLE
State : KY
Zip : 42164-9188
Country : US
Telephone Number : 270-618-1452
Fax Number :
Provider Business Practice Location Address
First Line : 203 YMCA WAY
Second Line :
City : GLASGOW
State : KY
Zip : 42141-1195
Country : US
Telephone Number : 270-576-3736
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2021
Last Update Date : 01/29/2026

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Directions to “ KAYLA HUDSON ” Practice Location

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