Individual
KELLY R HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
805 OLD PIONEER WAY NORTH, PTARMIGAN RIDGE, ORTING, WA 98360
(360) 893-0595
(360) 893-0603
Mailing address
121 WHITESELL ST, ORTING SCHOOL DISTRICT, ORTING, WA 98360
(360) 893-6500
(360) 893-2300
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60303592
WA
Other
Enumeration date
03/07/2014
Last updated
03/07/2014
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