Keivia Latrice Hardy
Specialist, Prosthetics Case Management in Montgomery, AL. Individual provider (NPI-1).
NPI number1750893293
StatusActive
Last updated in NPPESOct 24, 2017
Details
- NPI
- 1750893293
- Entity type
- Individual (NPI-1)
- Name
- Keivia Latrice Hardy
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 24, 2017
- Last updated
- Oct 24, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1744P3200X | Specialist, Prosthetics Case Management | 121503 | AL | Yes |
Practice location
3362 Atlanta HwyMontgomery, AL 36109-2702
Phone 334-324-9224
Mailing address
7036 Buckram Oak DrMontgomery, AL 36117-6724
Phone 334-324-9224
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All 8 Prosthetics Case Management providers in Montgomery · All 5,237 providers in Montgomery
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