Provider Demographics
NPI:1619618634
Name:HUDSON, MILO KAY
Entity Type:Individual
Prefix:
First Name:MILO
Middle Name:KAY
Last Name:HUDSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14260 BISHOP RD
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:OH
Mailing Address - Zip Code:43402-9313
Mailing Address - Country:US
Mailing Address - Phone:419-699-2608
Mailing Address - Fax:
Practice Address - Street 1:602 PASTEUR AVE
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:OH
Practice Address - Zip Code:43402-1429
Practice Address - Country:US
Practice Address - Phone:419-699-2608
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-05
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care