Organization
HARDIN PROFESSIONAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF KINGERY (DIRECTOR)
(270) 706-1900
Entity
Organization
Contact information
Practice address
2407 RING RD STE 108, ELIZABETHTOWN, KY 42701-5938
(270) 735-1588
(270) 735-1589
Mailing address
PO BOX 2119, ELIZABETHTOWN, KY 42702-2119
(270) 769-5551
(270) 982-2128
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
208600000X
Surgery Physician
—
KY
208800000X
Urology Physician
—
KY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
KY
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50009808
PASSPORT
KY
05
—
65944811
—
KY
Enumeration date
05/05/2006
Last updated
03/31/2017
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