KEVIN M HUDSON

BOISE, ID
NPI1922088905
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA488)
Enumeration Date2006-01-18
Last Update Date2011-02-16
Business Address
KEVIN M HUDSON PA-C
1520 W STATE ST STE 100
BOISE, ID 83702-4038
Phone number: 208-947-7700
Mailing Address
KEVIN M HUDSON PA-C
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-947-7700