Individual
KEVIN EDWARD HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1317 N KINGS HWY, SUITE 106, MYRTLE BEACH, SC 29577-3636
(843) 626-5437
Mailing address
415 N GRAND AVE, PUEBLO, CO 81003-3111
(719) 546-3333
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4242
SC
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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