KEVIN RAY HUDSON (NPI# 1013310291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013310291 |
| Entity Type | Individual |
| Full Name | KEVIN RAY HUDSON |
| Credential | PA |
| Practice Address |
410 N State of Franklin Rd Ste 140 Johnson City TN 37604-6972 |
| Practice Telephone | 4234312460 |
| Practice Fax Number | 4234312465 |
| Mailing Telephone | 4234312460 |
| Mailing Fax Number | 4234312456 |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2020-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457843831 | Kevin Patrick Hudson | Student in an Organized Health Care Education/Training Program | 2817 Reilly Road Mxcx - Cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 | 2018-06-01 |
| 1275526972 | Kevin Edward Hudson | Dentist | Uss Nimitz, Cvn-68, Fpo, AP 96620-2820 | 2005-08-26 |
| 1841753092 | Kevin L Hudson | Counselor | 1260 E Arrow Hwy, Upland, CA 91786-4982 | 2019-04-12 |
| 1013474105 | Kevin Hudson | Counselor | 615 8th St, Hoquiam, WA 98550-3522 | 2019-02-25 |
| 1124504584 | Kevin Hudson | Registered Nurse | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2018-07-18 |
| 1922088905 | Kevin M Hudson | Physician Assistant | 1520 W State St, Ste 100, Boise, ID 83702-4038 | 2006-01-18 |
| 1174509301 | Kevin L Hudson | Internal Medicine | 310 Gaslight Blvd, Lufkin, TX 75904-3133 | 2005-12-20 |
| Street Address |
410 N STATE OF FRANKLIN RD STE 140 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-6972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992803001 | Daniel E. Krenk | Orthopaedic Surgery | 410 N State of Franklin Rd Ste 140, Johnson City, TN 37604-6972 | 2006-09-20 |
| 1801109640 | Jeffery Chad Martin | Orthopaedic Surgery | 410 N State of Franklin Rd Ste 140, Johnson City, TN 37604-6972 | 2010-07-21 |
| 1366754574 | John P Teilhet | Physician Assistant | 410 N State of Franklin Rd Ste 140, Johnson City, TN 37604-6972 | 2010-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987446 | Caleb Stephens | Physician Assistant | 310 N State of Franklin Rd Ste 101, Johnson City, TN 37604-6063 | 2020-06-17 |
| 1174932107 | Stephen Steffey | Physician Assistant | 408 N State of Franklin Rd Ste 31, Johnson City, TN 37604-6088 | 2014-08-04 |
| 1639127327 | Tracy Lynn Gaudu | Physician Assistant | 701 Med Tech Parkway, Suite 300, Johnson City, TN 37604-2365 | 2006-05-04 |
| 1164408712 | Christopher Devon Williamson | Physician Assistant | 30 Harrison St Ste 460, Johnson City, NY 13790 | 2005-12-15 |
| 1851398176 | Christopher Michael Hendrix | Physician Assistant | 300 Wesley St, Johnson City, TN 37601-1722 | 2005-07-01 |
| 1275175234 | Sara Marie Pifer | Physician Assistant | 701 Med Tech Pkwy Ste 300, Johnson City, TN 37604-2365 | 2019-10-11 |
| 1821493263 | Oana Stingu | Physician Assistant | 46 Harrison St, Johnson City, NY 13790-2120 | 2014-10-28 |
| 1588834360 | Rickey Allen Ramsey | Physician Assistant | 2410 Susannah St, Johnson City, TN 37601-1765 | 2008-03-07 |
| 1366452914 | East Tennessee Brain & Spine Center, PC | Physician Assistant | 701 Med Tech Pkwy, Suite 300, Johnson City, TN 37604-2365 | 2006-08-08 |
| 1679526669 | Christian D. Tvetenstrand Md, Pllc | Physician Assistant | 30 Harrison St, Suite 320, Johnson City, NY 13790-2161 | 2006-05-18 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
Please comment or provide details below to improve the information on KEVIN RAY HUDSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.