Individual
KYLE HARDIMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1000 N ALLEN ST, ROBINSON, IL 62454-1114
(618) 544-3131
(618) 546-2630
Mailing address
1000 N ALLEN ST, ROBINSON, IL 62454-1114
(618) 544-3131
(618) 546-2630
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
041-359377
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041-359377
LICENSE NUMBER
IL
Enumeration date
05/23/2012
Last updated
01/12/2024
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