Wellformed AI

NPI 1952476335 · live from the CMS NPI Registry

Gregory Hudson MD INC

Clinic/Center, Rural Health in South Shore, KY. National Provider Identifier 1952476335, active.

NPI record

NPI1952476335 Type 2 · organization
StatusActive
Primary specialtyClinic/Center, Rural Health 261QR1300X
Practice location137 State Route 3117, South Shore, KY 41175
Practice phone606-932-2079
EnumeratedNovember 21, 2006
Last updatedMarch 10, 2021
Authorized officialChristine Hunt, Billing Credentialing
Other namesChrist Care Pediatrics

Taxonomies and licenses

TaxonomyCodeLicense
Pediatrics208000000X—
Pediatrics, Adolescent Medicine2080A0000X—
Nurse Practitioner363L00000X—
Nurse Practitioner, Pediatrics363LP0200X—
Clinic/Center, Rural Health primary261QR1300X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.