Individual
MR. BARRY G HARDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FASAM
Contact information
Practice address
222 PHILLIP STONE WAY, CENTRAL CITY, KY 42330-1929
(270) 754-3494
(270) 754-3499
Mailing address
222 PHILLIP STONE WAY, CENTRAL CITY, KY 42330-1929
(270) 754-3494
(270) 377-1683
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
23875
KY
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
23875
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64238751
—
KY
Enumeration date
08/01/2005
Last updated
10/20/2022
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