Individual
MADISON P HARDESTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1201 PLEASANT VALLEY RD, OWENSBORO, KY 42303-9811
(270) 417-4700
(270) 417-4709
Mailing address
900 S LIMESTONE CTW 304, LEXINGTON, KY 40536-0001
(859) 323-9918
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
58237
KY
207R00000X
Internal Medicine Physician
R5510
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2020
Last updated
12/14/2023
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