Provider Demographics
NPI:1225375504
Name:HARDMAN, KARIN (IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:KARIN
Middle Name:
Last Name:HARDMAN
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:856 KERSHAW ST
Mailing Address - Street 2:
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84403-0232
Mailing Address - Country:US
Mailing Address - Phone:801-980-1129
Mailing Address - Fax:
Practice Address - Street 1:856 KERSHAW ST
Practice Address - Street 2:
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84403-0232
Practice Address - Country:US
Practice Address - Phone:801-980-1129
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-07
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN