Individual
DR. KATHRYN WELCH HUDDLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
655 W 8TH ST, UFJP NEONATOLOGY, JACKSONVILLE, FL 32209-6511
(904) 244-4254
(904) 244-4301
Mailing address
902 MCCALLIE AVE, CHATTANOOGA, TN 37403-2724
(423) 664-4460
(423) 648-5675
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME49030
FL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
ME49030
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000330932I
—
GA
05
—
2510723-00
—
FL
01
—
370007528
RAILROAD MEDICARE
FL
Enumeration date
03/15/2006
Last updated
02/06/2019
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