Individual
KELLI D. HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
602 S LAWRENCE ST, MONTGOMERY, AL 36104-4787
(334) 293-7505
(334) 293-7374
Mailing address
707 YELLOWSTONE DR, PRATTVILLE, AL 36067-8055
(334) 361-3188
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-093494
AL
Other
Enumeration date
02/19/2009
Last updated
02/19/2009
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