Individual
KELSEY HUDGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20033 N 19TH AVE, PHOENIX, AZ 85027-4245
(480) 875-5616
Mailing address
41134 N CAMBRIA DR, SAN TAN VALLEY, AZ 85140-3172
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
Primary
SLP16163
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204702
—
AZ
Enumeration date
08/07/2019
Last updated
08/07/2026
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