KEVIN HUDSON
NPI 1124504584
Registered Nurse - Psychiatric/Mental Health, Child & Adolescent in San Leandro, CA
Active since July 18, 2018
About Kevin Hudson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEVIN HUDSON (NPI 1124504584) is an individual psychiatric/mental health, child & adolescent provider in San Leandro, California, licensed in California (548219) and active in the NPI registry since July 2018.
NPPES Registry Identity
NPI1124504584
Entity TypeIndividualMale
Primary Taxonomy163WP0807X
Provider Legal NameKEVIN HUDSON
Location Address2275 ARLINGTON DRSan Leandro, CA 94578-1132
Mailing Address2275 Arlington DrSan Leandro, CA 94578-1132 · (510) 317-1444
Phone(510) 317-1444
Sole ProprietorNo
Enumeration DateJuly 18, 2018
✔ NPI 1124504584 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, Child & AdolescentNursing Service Providers
Taxonomy Code163WP0807X
License✔ Licensed in CA · 548219
2275 ARLINGTON DR, San Leandro, CA 94578
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Social Worker (Clinical)
2275 ARLINGTON DR, SENECA CENTER
SAN LEANDRO, CA 94578
SAN LEANDRO, CA 94578
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124504584, enumerated as an "individual" on July 18, 2018.
The provider is located at 2275 ARLINGTON DR SAN LEANDRO, CA 94578 and the phone number is (510) 317-1444.
Registered Nurse with taxonomy code 163WP0807X and a focus in Psychiatric/Mental Health, Child & Adolescent.
