Individual
KEVIN HARDESTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 HOSPITAL RD, TELL CITY, IN 47586-2750
(812) 547-7011
Mailing address
4604 US HIGHWAY 60 W, MORGANFIELD, KY 42437-6515
(270) 389-5000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1085059
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000215856
ANTHEM BCBS PIN
KY
05
—
200120690C
—
IN
05
—
200295840B
—
IN
01
—
430070581
RAILROAD MEDICARE PIN
KY
05
—
74002924
—
KY
Enumeration date
03/03/2006
Last updated
03/11/2019
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