Individual
KELLIE L HARDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
700 NEBRASKA AVE, KANSAS CITY, KS 66101-2111
(913) 951-8731
(913) 426-9057
Mailing address
PO BOX 746874, ATLANTA, GA 30374-6874
(913) 951-8731
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2020039162
MO
363L00000X
Nurse Practitioner
53-79804-051
KS
363LF0000X
Family Nurse Practitioner
2020039162
MO
363LF0000X
Family Nurse Practitioner
Primary
5379804051
KS
Other
Enumeration date
12/09/2020
Last updated
05/07/2024
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