Individual
ELIZABETH JANE HARDEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDHS
Contact information
Practice address
14115 FRED AND AL KEY RD, KILN, MS 39556-8060
(228) 466-1035
(228) 466-8960
Mailing address
14115 FRED AND AL KEY RD, KILN, MS 39556-8060
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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