Individual
KYLE HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 S BONITA AVE, PANAMA CITY, FL 32401-3961
(850) 832-2525
Mailing address
315 S BONITA AVE, PANAMA CITY, FL 32401-3961
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
11033166
FL
363L00000X
Nurse Practitioner
11033166
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
11033166
FL
Other
Enumeration date
06/06/2024
Last updated
11/15/2024
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