Hardesty, Kayla Diane

Hardesty, Kayla Diane is an individual health care provider with primary practice located at 511 Windsor Dr , Stillwater OK 74074-6962. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Hardesty, Kayla Diane can be contacted via phone (405) 707-0900.

Contact Information

Primary practice address
511 Windsor Dr Stillwater OK 74074-6962
Phone: (405) 707-0900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1686 Oklahoma

Profile Details

NPI number 1801075262
LBN Legal business name Hardesty, Kayla Diane
Credentials P.A-C, PT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2007
Last updated Mar 10th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801075262 NPPES
Oklahoma MEDICAID 200215910A

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