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Individual

KATHLEEN H HARDIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
2100 HIGHWAY 61 N, VICKSBURG, MS 39183-8211
(601) 883-6832
Mailing address
PO BOX 12870, JACKSON, MS 39236-2870
(601) 896-0019

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
18489
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P01227137
RAILROAD MCR PTAN
MS
Enumeration date
10/17/2006
Last updated
03/11/2014
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