Individual
KIMBERLY A. HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
269 EAST BRANNON ROAD, NICHOLASVILLE, KY 40356-9104
(859) 258-6540
(859) 258-6549
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-6200
(859) 258-6203
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36547
KY
208000000X
Pediatrics Physician
36547
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110222592
RR MEDICARE PIN
GA
01
—
37903705
MEDICAID LAB GRP
KY
01
—
4000501
MEDICARE LAB GRP
KY
05
—
64033897
—
KY
01
—
CB5773
RR MEDICARE GRP
GA
Enumeration date
07/13/2006
Last updated
04/08/2026
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