Individual
RANDI D HARDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12200 W 106TH ST STE 400, OVERLAND PARK, KS 66215-2305
(913) 541-5500
(914) 541-7474
Mailing address
12200 W 106TH ST STE 400, OVERLAND PARK, KS 66215-2305
(913) 541-5500
(913) 541-7474
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15-01339
KS
363AS0400X
Surgical Physician Assistant
15-01339
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023274404
—
KS
Enumeration date
08/27/2009
Last updated
01/18/2022
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