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MS. KELLY A HUDOCK CRNP NPI 1639137771


NPI Information

NPI: 1639137771
Provider Name: MS. KELLY A HUDOCK, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1605 N CEDAR CREST BLVD STE 110B
ALLENTOWN, PA
ZIP 18104
Phone: (610) 973-1410
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MS. Kelly A Hudock, CRNP is a family nurse practitioner in Allentown, PA. MS. Kelly A Hudock, CRNP NPI is 1639137771. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1605 N CEDAR CREST BLVD STE 110B
ALLENTOWN, PA
ZIP 18104-351
Phone: (610) 973-1410
Fax: (610) 973-1442

The NPI 1639137771 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/1/2006 and was last updated on 12/14/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNN095449NJNEW JERSEYNo
2363LF0000XNurse PractitionerFamilyVP006579BPENNSYLVANIAYes
3207Q00000XFamily MedicineVP006579BPENNSYLVANIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18440506MEDICAIDNEW JERSEY
2223733353OTHERNEW JERSEYHORIZON
32318736OTHERNEW JERSEYAETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.