Individual
MATTHEW G 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
60070
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0057270
—
OH
01
—
35.151170
OHIO LICENSURE
OH
01
—
60070
KY LICENSURE
KY
05
—
7100834770
—
KY
Enumeration date
03/29/2021
Last updated
09/27/2024
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