Individual
DR. SAMUEL KENNETH HUDGEONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1585 3RD ST BLDG 285, FORT JOHNSON, LA 71459-5102
(337) 531-3118
Mailing address
2050 DRAGOON LOOP BLDG 1260, FORT JOHNSON, LA 71459-5242
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/11/2021
Last updated
07/31/2024
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