Individual
DR. KIANNE ABRAHAM HARDEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
815 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2224
(817) 321-0404
Mailing address
816 W CANNON ST, FORT WORTH, TX 76104-3146
(817) 321-0404
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
N1513
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP1-0026373
INSTITUTIONAL PERMIT
—
Enumeration date
06/12/2007
Last updated
06/05/2024
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