Hudson, Kellye Ladawn
Hudson, Kellye Ladawn is an individual health care provider with primary practice located at 117 Forest Ct , Knoxville TN 37919-5078. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Hudson, Kellye Ladawn can be contacted via phone (865) 409-5695.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 0000000527 | Tennessee |
| Nursing Service Providers / Registered Nurse | 163W00000X | RN0000162019 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | APN0000014218 | Tennessee |
Profile Details
| NPI number | 1164583829 |
|---|---|
| LBN Legal business name | Hudson, Kellye Ladawn |
| Credentials | DNP, PMHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Dec 1st, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164583829 | NPPES |
| Tennessee | MEDICAID | 1506809 |
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