Individual
KACIANNA HARDSOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6780 MAYFIELD RD, MAYFIELD HEIGHTS, OH 44124-2203
(440) 312-4500
Mailing address
372 BLACK GAP RD, FAYETTEVILLE, PA 17222-9734
(717) 496-5582
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
PA.0007720
CO
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
06/05/2020
Last updated
03/14/2023
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