Individual
KRISTIN MARA HUDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
231 ALBERT SABIN WAY, CINCINNATI, OH 45267-2827
(513) 558-0588
(513) 558-4858
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 245-3600
(513) 245-3672
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
35126355
OH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD435541
PA
207RP1001X
Pulmonary Disease Physician
35126355
OH
Other
Enumeration date
08/12/2006
Last updated
05/18/2017
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