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NPI Code Detail

MEDICARE: KEVIN HARDY

MEDICARE: KEVIN HARDY
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
1390200000XStudent in an Organized Health Care Education/Training ProgramLA

General Provider Information

NPI Number : 1902748064
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN HARDY
Provider Business Mailing Address
First Line : 2408 RUE SAINT LOUIS
Second Line :
City : GRETNA
State : LA
Zip : 70056-8212
Country : US
Telephone Number : 337-274-3271
Fax Number :
Provider Business Practice Location Address
First Line : 2390 W CONGRESS ST
Second Line :
City : LAFAYETTE
State : LA
Zip : 70506-4205
Country : US
Telephone Number : 337-261-6166
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2026
Last Update Date : 04/08/2026

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Directions to “ KEVIN HARDY ” Practice Location

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