Provider Demographics
NPI:1467595041
Name:HUDSON, ELIZABETH ('KARI') CARRIGAN (OD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH ('KARI')
Middle Name:CARRIGAN
Last Name:HUDSON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:ELIZABETH ('KARI')
Other - Middle Name:CARRIGAN
Other - Last Name:KLEMM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:2020 KEITH ST NW
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37311-1351
Mailing Address - Country:US
Mailing Address - Phone:423-472-6517
Mailing Address - Fax:423-476-8578
Practice Address - Street 1:2020 KEITH ST NW
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37311-1351
Practice Address - Country:US
Practice Address - Phone:423-472-6517
Practice Address - Fax:423-476-8578
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1743152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist