Individual
KIMBERLY M HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
420 SAYBROOK RD, MIDDLESEX CARDIOLOGY ASSOCIATES, MIDDLETOWN, CT 06457-4747
(860) 347-4258
(860) 704-5924
Mailing address
420 SAYBROOK RD, STE A, MIDDLETOWN, CT 06457-4747
(860) 636-2010
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
002729
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00422578700
BDS BLUE CARE
—
05
—
009225787
—
CT
01
—
027290
CT
—
01
—
2V4899
HEALTH NET
—
01
—
400002729CT
ANTHEM
—
01
—
P3231049
OXFORD
—
Enumeration date
08/18/2006
Last updated
11/07/2019
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