Individual
DR. KENNETH F HARDY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1311 PINEVIEW DRIVE, SUITE 200, MORGANTOWN, WV 26505
(304) 598-7546
(304) 225-7551
Mailing address
1311 PINEVIEW DRIVE, SUITE 200, MORGANTOWN, WV 26505
(304) 598-7546
(304) 225-7551
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
17968
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001733619
BLUE CROSS BLUE SHIELD
WV
05
—
1802385000
—
WV
Enumeration date
11/20/2006
Last updated
04/16/2013
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