Healthcare Provider Details

I. General information

NPI: 1497351001
Provider Name (Legal Business Name): KATHRYN ELIZABETH HARDMAN PARAMEDIC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHRYN ELIZABETH VEDA

II. Dates (important events)

Enumeration Date: 12/09/2020
Last Update Date: 12/09/2020
Certification Date: 12/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 N TELEGRAPH RD
PONTIAC MI
48341-1032
US

IV. Provider business mailing address

3359 HILLTOP DR
HOLLY MI
48442-1153
US

V. Phone/Fax

Practice location:
  • Phone: 248-456-8150
  • Fax:
Mailing address:
  • Phone: 586-854-4997
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License Number1649107
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: