Individual
JIM KYLE HUDSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6286 BRIARCREST AVE, MEMPHIS, TN 38120-4023
(901) 259-1600
(901) 259-1698
Mailing address
6077 PRIMACY PKWY STE 140, MEMPHIS, TN 38119-5754
(901) 725-8347
(901) 259-7637
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
13824
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00123456
—
MS
05
—
1522223
—
TN
01
—
793967
MEDICARE
MS
01
—
T08483A
MEDICARE
TN
Enumeration date
07/17/2006
Last updated
10/21/2025
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