Most Relevant Information
Provider Data
| NPI Number: | 1003667031 |
| Provider Name: | KRISTY HARDY |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/28/2024 |
| Last Updated: | 03/28/2024 |
Provider Practice Location
2553 E SUMMER DAWN ST
MERIDIAN
ID
836467772
Practice Location Phone/Fax
| Phone: | 2085393658 |
| Fax: |
Provider Mailing Location
2553 E SUMMER DAWN ST
MERIDIAN
ID
836467772
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |