Individual
DONITA HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1036 ACE DR, BEREA, KY 40403-1327
(859) 986-3124
(859) 986-9398
Mailing address
1036 ACE DR, BEREA, KY 40403-1327
(859) 986-3124
(859) 986-9398
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA881
KY
Other
Enumeration date
09/16/2010
Last updated
05/18/2012
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