Provider Demographics
NPI:1376033597
Name:HUDZINSKI, SCOTT (DPM)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:
Last Name:HUDZINSKI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1169 EASTERN PKWY STE 3440
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40217-1421
Mailing Address - Country:US
Mailing Address - Phone:502-808-3668
Mailing Address - Fax:502-289-9970
Practice Address - Street 1:1169 EASTERN PKWY STE 3440
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40217-1421
Practice Address - Country:US
Practice Address - Phone:502-808-3668
Practice Address - Fax:502-289-9970
Is Sole Proprietor?:No
Enumeration Date:2018-05-14
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC006920213ES0103X
KY275927213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery