Individual
KELLI MARIE HUDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5535 PLATT SPRINGS RD, LEXINGTON, SC 29073-7519
(803) 951-1880
(803) 951-0384
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1705
SC
207Q00000X
Family Medicine Physician
LL1705
SC
Other
Enumeration date
06/18/2013
Last updated
11/29/2022
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