Individual
DR. KENNETH J. HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2550 FLOWOOD DR STE 300, FLOWOOD, MS 39232-9306
(601) 420-0034
(601) 420-5482
Mailing address
2550 FLOWOOD DR STE 300, FLOWOOD, MS 39232-9306
(601) 420-0034
(601) 420-5482
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
13693
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0112690
—
MS
05
—
100842
—
AL
05
—
1466310
—
LA
01
—
RR 660001459
RAILROAD
MS
Enumeration date
06/27/2006
Last updated
12/13/2012
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