Individual
KIMBERLY K HUDSPETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
205 MUNSTER ST, GERMANTOWN, IL 62245-1004
(618) 523-4216
(618) 523-7049
Mailing address
9515 HOLY CROSS LN, BREESE, IL 62230-3618
(618) 526-4511
(618) 526-4537
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036131870
IL
207R00000X
Internal Medicine Physician
0431810
KS
208M00000X
Hospitalist Physician
036131870
IL
208M00000X
Hospitalist Physician
04-31810
KS
Other
Enumeration date
08/31/2006
Last updated
11/07/2018
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