Individual
KACIANNA HARDSOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12251 S 80TH AVE STE 1520, PALOS HEIGHTS, IL 60463-1290
(708) 923-4200
(708) 923-4201
Mailing address
12251 S 80TH AVE STE 1520, PALOS HEIGHTS, IL 60463-1290
(708) 923-4200
(708) 923-4201
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085012242
IL
363AS0400X
Surgical Physician Assistant
PA.0007720
CO
363AS0400X
Surgical Physician Assistant
—
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Other
Enumeration date
06/05/2020
Last updated
07/21/2026
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