Hardigan, Kenneth Russell

Hardigan, Kenneth Russell is an individual health care provider with primary practice located at 100 Lantana Rd Ste 202A , Crossville TN 38555-1915. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Hardigan, Kenneth Russell can be contacted via phone (931) 484-5141.

Contact Information

Primary practice address
100 Lantana Rd Ste 202A Crossville TN 38555-1915
Phone: (931) 484-5141
Fax: (865) 374-2074
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 039120 Georgia
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 65348 Tennessee

Profile Details

NPI number 1437148582
LBN Legal business name Hardigan, Kenneth Russell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Jul 24th, 2023 - about last year

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 1437148582 NPPES
Tennessee MEDICAID Q074573
Tennessee MEDICAID 000852596A
Tennessee MEDICAID 00627327G

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