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Individual
PEGGY HARDESTY
Active
Individual
PEGGY HARDESTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3237P
KY
363LA2200X
Adult Health Nurse Practitioner
3237P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0913904
KENTUCKY MEDICARE
KY
05
—
78006616
—
KY
Enumeration date
08/09/2006
Last updated
11/23/2015
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