Hudson, Kevin M

Hudson, Kevin M is an individual health care provider with primary practice located at 1520 W State St Ste 100, Boise ID 83702-4038. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Hudson, Kevin M can be contacted via phone (208) 947-7700.

Contact Information

Primary practice address
1520 W State St Ste 100 Boise ID 83702-4038
Phone: (208) 947-7700
Fax: (208) 947-7701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA488 Idaho

Profile Details

NPI number 1922088905
LBN Legal business name Hudson, Kevin M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Feb 16th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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