Individual
KYLE HARDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
13127 VAIL RIDGE DR, RIVERVIEW, FL 33579-7196
(813) 661-6199
Mailing address
1085 LAKE IRENE RD, CASSELBERRY, FL 32707-2547
(832) 335-2405
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
9113509
FL
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
09/09/2020
Last updated
10/06/2022
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