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Individual

KEVIN R HARDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3400 SPRUCE ST, GROUND SILVERSTEIN BLDG, PHILADELPHIA, PA 19104
(215) 662-7248
Mailing address
3400 SPRUCE ST, GROUND SILVERSTEIN BUILDING, PHILADELPHIA, PA 19104-4206
(215) 662-7248

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD041668E
PA
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
MD041668E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0015216660001
PA
Enumeration date
07/03/2006
Last updated
05/21/2013
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