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NPI Code Detail

MEDICARE: DR. WILLIAM RANDOPH HARDEN DO

MEDICARE:  DR. WILLIAM RANDOPH HARDEN  DO
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
1208100000XPhysical Medicine & Rehabilitation Physician06192KY

General Provider Information

NPI Number : 1629710983
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM RANDOPH HARDEN DO
Provider Business Mailing Address
First Line : PO BOX 74008272
Second Line :
City : CHICAGO
State : IL
Zip : 60674-8272
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2050 VERSAILLES RD
Second Line :
City : LEXINGTON
State : KY
Zip : 40504-1405
Country : US
Telephone Number : 872-231-3162
Fax Number : 702-977-1496
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2022
Last Update Date : 04/13/2026

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Directions to “ DR. WILLIAM RANDOPH HARDEN DO” Practice Location

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