Hudson, Jim Kyle

Hudson, Jim Kyle is an individual health care provider with primary practice located at 6029 Walnut Grove Rd Ste 403 , Memphis TN 38120-2112. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Hudson, Jim Kyle can be contacted via phone (901) 261-7836.

Contact Information

Primary practice address
6029 Walnut Grove Rd Ste 403 Memphis TN 38120-2112
Phone: (901) 261-7836
Fax: (901) 226-0215
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 09724 Mississippi

Profile Details

NPI number 1669490736
LBN Legal business name Hudson, Jim Kyle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Dec 29th, 2020 - about 5 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 1669490736 NPPES
Tennessee Other T08483A MEDICARE
Tennessee Other 793967 MEDICARE
Tennessee MEDICAID 00123456 MEDICARE
Tennessee MEDICAID 1522223 MEDICARE

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