Individual
JENNIFER HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
2301 E DOUGLAS AVE, WICHITA, KS 67211-1613
(316) 973-7147
Mailing address
2301 E. DOUGLAS AVE., WICHITA, KS 67211-1613
(316) 973-7147
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-00034
KS
Other
Enumeration date
12/22/2014
Last updated
12/22/2014
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