Active NPIIndividual providerSole proprietor

Miss Kelli A Hudson, ATC

Specialist/Technologist, Athletic Trainer in Wall Township, New Jersey

NPI Number1952525750
Practice location
1635 18TH Ave, Wall Township, NJ 07719-3723
Fax
—
Last updated
October 26, 2016

Kelli Alisa Hudson is a Specialist/Technologist, Athletic Trainer based in Wall Township, NJ. Kelli Alisa Hudson practices in Wall Township, NJ and has the professional credentials of ATC. The NPI Number for Kelli Alisa Hudson is 1952525750 and holds a License No. 25MT00114300 (NJ). The current practice location address for Kelli Alisa Hudson is 1635 18TH Ave, Wall Township, NJ 07719-3723 and can be reached out via phone at 732-221-8702.

Provider Profile Details

NPI Number
1952525750
Provider Name
Kelli Alisa Hudson
Credential
ATC
Provider Entity Type
Individual
Gender
Female
Address
1635 18TH Ave, Wall Township, NJ 07719-3723
Phone Number
732-221-8702
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
April 12, 2007
Last Update Date
October 26, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
1635 18TH Ave
Wall Township, NJ 07719-3723
Zip
07719-3723
Phone Number
732-221-8702
Wall Township, NJ 07719Get directions →

Provider Business Mailing Address Details

Address
1635 18TH Ave
Wall Township, NJ 07719-3723
City
Wall Township
State
NJ
Zip
07719-3723
Phone Number
732-221-8702

License Information

License Number (1)
25MT00114300
License State (1)
NJ
License Number (2)
25MT00114300
License State (2)
NJ
Taxonomy (2)
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Specialist/Technologist, Athletic Trainers near Wall Township, NJ

View all Specialist/Technologist, Athletic Trainers in Wall Township →

Frequently Asked Questions

What is the NPI number of Miss Kelli A Hudson, ATC?

The NPI number of Miss Kelli A Hudson, ATC is 1952525750. It was assigned on April 12, 2007 and is currently active in the NPPES registry.

What is the specialty of Miss Kelli A Hudson, ATC?

Miss Kelli A Hudson, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number 25MT00114300.

Where does Miss Kelli A Hudson, ATC practice?

The practice location is 1635 18TH Ave, Wall Township, NJ 07719-3723. The office can be reached at 732-221-8702 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1952525750 directly on the NPPES registry website.

Browse related providers