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NPI Code Detail

MEDICARE: KADESHA HARDING

MEDICARE: KADESHA HARDING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical Nurse349598NY

General Provider Information

NPI Number : 1063360725
Entity Type Code : Individual
Provider Name (Legal Business Name) : KADESHA HARDING
Provider Business Mailing Address
First Line : PO BOX 15022
Second Line :
City : SYRACUSE
State : NY
Zip : 13215-0022
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1011 W GENESEE ST STE 3
Second Line :
City : SYRACUSE
State : NY
Zip : 13204-2329
Country : US
Telephone Number : 315-476-0600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2026
Last Update Date : 03/18/2026

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Directions to “ KADESHA HARDING ” Practice Location

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