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Individual

SHELBY PATRICK HARDIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP, CLC

Contact information

Practice address
1900 RICHMOND RD, LEXINGTON, KY 40502-1204
(859) 554-8185
(859) 554-8186
Mailing address
1900 RICHMOND RD, LEXINGTON, KY 40502-1204

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242922
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
242922
INTERIM LICENSE
KY
05
7100589370
KY
Enumeration date
07/19/2018
Last updated
02/18/2025
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