Hardy, Kyle G

Hardy, Kyle G is an individual health care provider with primary practice located at 3344 N Futrall Dr , Fayetteville AR 72703-4057. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Hardy, Kyle G can be contacted via phone (479) 521-8200.

Contact Information

Primary practice address
3344 N Futrall Dr Fayetteville AR 72703-4057
Fax: (479) 582-7310
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X C-7281 Arkansas
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X C-7281 Arkansas

Profile Details

NPI number 1427094390
LBN Legal business name Hardy, Kyle G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Dec 27th, 2021 - about 4 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 1427094390 NPPES
Arkansas Other 55062 AR BC/BS
Arkansas Other P00196413 AR BC/BS
Arkansas MEDICAID 100067640A AR BC/BS
Arkansas MEDICAID 122538011 AR BC/BS

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