NPI 1053082289

Elizabeth Jane Hardey, IDHS

Practitioner Independent Duty Corpsman Kiln, MS

Practice location

Address: 14115 Fred and Al Key Rd, Kiln, MS 39556-8060
Phone: (228) 466-1035
Fax: (228) 466-8960

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1053082289
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Sep 2021
Record last updated: 27 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.