Kim J Hodgson in Springfield - Vascular Surgery

Kim J Hodgson - NPI 1417943937

Kim J Hodgson is a Vascular Surgery in Springfield, Illinois. Kim J Hodgson practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Kim J Hodgson is 1417943937. The last update date is 2014-10-16.

Kim J Hodgson's current location address is Po Box 19638, Springfield, Illinois. You can contact this provider via phone number 2175455555 and fax number 2175452563. The mailing address for Kim J Hodgson is Po Box 19638, Springfield, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Kim J Hodgson
Address Po Box 19638, Springfield, Illinois
Phone Number 2175455555
Fax Number 2175452563
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1417943937
Provider Enumeration Date 2005-09-20
Last Updated Date 2014-10-16

Provider Mailing Address Detail

Address Po Box 19638
City Springfield
State Illinois (IL)
Post Code 627949638
Phone Number 2175455555
Fax Number 2175452563

Provider's Primary Taxonomy Detail

Speciality Vascular Surgery
Taxonomy 2086S0129X
Licence No 36072794
Definition:
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36072794 IL --

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FAQs about Kim J Hodgson

What is the unique 10-digit identifier code issued to Kim J Hodgson by the Centers for Medicare & Medicaid Services?

The Kim J Hodgson has been assigned the NPI (National Provider Identifier) 1417943937 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Kim J Hodgson's facilities are situated?

The facilities of Kim J Hodgson are physically located at the following address: Po Box 19638, Springfield, IL, 627949638.

What is Kim J Hodgson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Kim J Hodgson is Vascular Surgery, and the taxonomy code that categorizes this field of expertise is 2086S0129X.

On what date was the 1417943937 assigned to Kim J Hodgson?

The Kim J Hodgson was issued its 1417943937 on 2005-09-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Kim J Hodgson last refreshed?

The information related to the Kim J Hodgson, including its address, specialty, and other relevant details, was last updated on 2014-10-16.

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