person
Mr. Myron Jeffrey Hardesty, PA-C
Medical Physician Assistant in Louisville, Kentucky
NPI 1043465164

Myron Jeffrey Hardesty is a Medical Physician Assistant based in Louisville, KY and is specialized in Medical. Myron Jeffrey Hardesty practices in Louisville, KY and has the professional credentials of PA-C. The NPI Number for Myron Jeffrey Hardesty is 1043465164 and holds a License No. PA1185 (Kentucky).

The current practice location address for Myron Jeffrey Hardesty is 7505 New Lagrange Road, Louisville, KY and can be reached out via phone at 502-412-3232 and via fax at 502-412-3233.

Location: 7505 New Lagrange Road, Louisville, KY, 40222
person
Provider Profile Details
NPI Number
1043465164
Provider Name
Myron Jeffrey Hardesty
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
7505 New Lagrange Road, Louisville, KY, 40222
Phone Number
502-412-3232
Fax Number
502-412-3233
Provider Enumeration Date
11/18/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11918387 01 KY CAQH
institution
Provider Business Practice Location Address Details
Address
7505 New Lagrange Road
City
State
Zip
40222
Phone Number
502-412-3232
Fax Number
502-412-3233
person
Provider Business Mailing Address Details
Address
7505 New Lagrange Road
City
State
Zip
40222
Phone Number
502-412-3232
Fax Number
502-412-3233
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA1185 (Kentucky)
Definition
Definition to come...
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