Garren-Hudson, Kimberly Ann

Garren-Hudson, Kimberly Ann is an individual health care provider with primary practice located at 5192 Chillicothe Rd , South Russell OH 44022-4196. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Garren-Hudson, Kimberly Ann can be contacted via phone (440) 338-3366.

Contact Information

Primary practice address
5192 Chillicothe Rd South Russell OH 44022-4196
Phone: (440) 338-3366
Fax: (440) 338-3332
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3400-7493G Ohio

Profile Details

NPI number 1689661027
LBN Legal business name Garren-Hudson, Kimberly Ann
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689661027 NPPES
Ohio MEDICAID 2328298

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