Organization
RIGHT AT YOUR DOOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDNA M HUDSON-KINZEY MSN ED, RN (PROVIDER)
(414) 522-0417
Entity
Organization
Contact information
Practice address
9235 W CAPITOL DR STE LL1, MILWAUKEE, WI 53222-1567
(414) 522-0455
Mailing address
12605 W NORTH AVE # 282, BROOKFIELD, WI 53005-4629
(414) 522-0455
(414) 509-6747
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
041338963
IL
163WH0200X
Home Health Registered Nurse
Primary
124990
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020368826365001
—
IL
05
—
100067593
—
WI
Enumeration date
07/24/2017
Last updated
01/05/2021
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