Individual
KEVIN RAY HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
410 N STATE OF FRANKLIN RD STE 140, JOHNSON CITY, TN 37604-6972
(423) 431-2460
(423) 431-2465
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10091
GA
363A00000X
Physician Assistant
Primary
2617
TN
363AS0400X
Surgical Physician Assistant
2617
TN
Other
Enumeration date
10/02/2014
Last updated
01/12/2026
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