Individual
REBECCA NICOLE HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MSPAS
Contact information
Practice address
2944 BRECKENRIDGE LN, LOUISVILLE, KY 40220-1409
(502) 893-0159
Mailing address
2944 BRECKENRIDGE LN, LOUISVILLE, KY 40220-1409
(502) 893-0159
(502) 213-3853
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
PA1833
KY
207Y00000X
Otolaryngology Physician
PA1833
KY
363A00000X
Physician Assistant
Primary
1112645
KY
Other
Enumeration date
11/01/2013
Last updated
11/15/2022
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