MRS. KELLY K HUDSON


Address: 239 Ivan Allen Jr. Boulevard, Atlanta, GA 30313
Phone: 4045236571

MRS. KELLY K HUDSON (NPI# 1417163916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417163916
Entity Type Individual
Full Name MRS. KELLY K HUDSON
Credential FNP
Practice Address 239 Ivan Allen Jr. Boulevard
Atlanta
GA 30313
Mailing Address 440 Summerfield Drive
Alpharetta
GA 30022
Practice Telephone 4045236571
Practice Fax Number 4045236574
Mailing Telephone 7707401267
Mailing Fax Number 4045236574
Enumeration Date 2007-05-14
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
R093576 GA Physician Assistants & Advanced Practice Nursing Providers

Other Providers KELLY HUDSON

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1588080097 Kelly R Hudson Licensed Practical Nurse 805 Old Pioneer Way North, Ptarmigan Ridge, Orting, WA 98360 2014-03-07
1427484849 Kelly A Hudson Counselor 223 E Main St, Suite 300, Rock Hill, SC 29730-4571 2013-09-17
1588675318 Kelly T Hudson Physical Therapy Assistant 103 Northpark Blvd, Suite 205, Covington, LA 70433-6119 2006-08-10

Office Location

Street Address 239 IVAN ALLEN JR. BOULEVARD
City ATLANTA
State GA
Zip Code 30313

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275067894 Brittni Fleming Counselor 250 Park Avenue West, Atlanta, GA 30313 2017-04-20
1134158413 Francine Blonnetta Ricketts Physician Assistant 430 Centennial Olympic Park Drive, Atlanta, GA 30313 2006-06-30
1053348540 Deborah Robinson Maclean Specialist/Technologist Healthworks/the Coca-cola Company, One Coca-cola Plaza - Hmc, Atlanta, GA 30313 2006-06-28
1851345904 William C Warren Iv Pediatrics 239 Ivan Allen Jr Blvd, Atlanta, GA 30313 2006-05-22
1790222834 Courtney Dean Specialist/Technologist 150 Bobby Dodd Way, Atlanta, GA 30313 2017-01-27
1932503711 Emory Employer Based Health Services Clinic/Center 1 Coca Cola Plz Nw, Atlanta, GA 30313 2014-10-22
1124342019 Professional Speech & Language Therapy, Inc Clinic/Center 210 Walker St Sw Unit 5, Atlanta, GA 30313-1213 2010-03-21
1285145789 Express At Northside LLC Pharmacy 296 Northside Dr Sw, Atlanta, GA 30313-1228 2017-10-24
1730155144 Javonya Donell Clemons Speech-Language Pathologist 210 Walker Street, Loft 5, Atlanta, GA 30313-1257 2006-02-24
1053506162 Diabetic Foot Care Specialist of Georgia Podiatrist 238 Walker St Sw, Unit #12, Atlanta, GA 30313-1266 2007-09-11
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1265042162 Habida Elachola Nurse Practitioner 2533 Henderson Mill Rd Ne, Atlanta, GA 30345-2135 2020-08-05
1184249815 Nichelle Osborne Nurse Practitioner 5785 Roswell Rd, Atlanta, GA 30328-4903 2020-06-09
1902427149 Oasis Health Services, LLC Nurse Practitioner 6595 Roswell Rd Ste G1255, Atlanta, GA 30328-3152 2020-04-28
1063042927 Mary Gillon Hall Nurse Practitioner 90 La Rue Pl Nw, Atlanta, GA 30327-4075 2020-01-20
1396382321 Stacey Brinkley Nurse Practitioner 3725 Princeton Lakes Pkwy Sw Apt 7304, Atlanta, GA 30331-5564 2019-12-10
1801439401 Debadrita Mondal Nurse Practitioner 180 Jackson St Ne Apt 2506, Atlanta, GA 30312-1373 2019-10-26
1265075170 Cecile Veronica Maner Nurse Practitioner 105 Collier Rd Nw Ste 3040, Atlanta, GA 30309-1733 2019-10-23
1194366567 Tondalaya K Sanford Nurse Practitioner 3119 Fonseca Pass, Atlanta, GA 30349-8140 2019-10-07
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Competitor

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City ATLANTA
Zip Code 30313

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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