Hardesty, Kevin

Hardesty, Kevin is an individual health care provider with primary practice located at 1 Hospital Rd , Tell City IN 47586-2750. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Hardesty, Kevin can be contacted via phone (812) 547-7011.

Contact Information

Primary practice address
1 Hospital Rd Tell City IN 47586-2750
Phone: (812) 547-7011
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1085059 Kentucky

Profile Details

NPI number 1891762233
LBN Legal business name Hardesty, Kevin
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Mar 11th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891762233 NPPES
Kentucky MEDICAID 74002924
Kentucky MEDICAID 200295840B
Kentucky Other 430070581
Kentucky Other 000000215856
Kentucky MEDICAID 200120690C

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