Individual
MR. GREGORY HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
137 STATE ROUTE 3117, SOUTH SHORE, KY 41175-9597
(606) 932-2079
(606) 932-2313
Mailing address
137 STATE ROUTE 3117, SOUTH SHORE, KY 41175-9597
(606) 932-2079
(606) 932-2313
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25242
KY
208000000X
Pediatrics Physician
35061298
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0816415
—
OH
01
—
64252422
KY MEDICAID
KY
05
—
7100373950
—
KY
Enumeration date
06/08/2005
Last updated
02/22/2021
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