Hudock, Kelly A

Hudock, Kelly A is an individual health care provider with primary practice located at 1605 N Cedar Crest Blvd Ste 110B , Allentown PA 18104-2351. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Hudock, Kelly A can be contacted via phone (610) 973-1410.

Contact Information

Primary practice address
1605 N Cedar Crest Blvd Ste 110B Allentown PA 18104-2351
Phone: (610) 973-1410
Fax: (610) 973-1442
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X NN095449NJ New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X VP006579B Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X VP006579B Pennsylvania

Profile Details

NPI number 1639137771
LBN Legal business name Hudock, Kelly A
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Dec 14th, 2021 - about 3 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 1639137771 NPPES
New Jersey Other 2318736 AETNA
New Jersey Other 223733353 AETNA
New Jersey MEDICAID 8440506 AETNA

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