Individual
MR. JONATHON KASEY HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
2345 SAMPSON ST, WESTLAKE, LA 70669-2711
(337) 439-1484
(337) 430-0927
Mailing address
2345 SAMPSON ST, WESTLAKE, LA 70669-2711
(337) 439-1484
(337) 430-0927
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
321004
LA
Other
Enumeration date
10/23/2019
Last updated
02/08/2022
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