Individual
KENYATTA LATORYA HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
400 S LOGAN ST, GAFFNEY, SC 29341-1609
(864) 487-2705
Mailing address
204 HIGHLAND RD, INMAN, SC 29349-9262
(917) 893-0279
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P40639
SC
Other
Enumeration date
06/22/2017
Last updated
06/22/2017
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