Provider Demographics
NPI:1801622394
Name:HARDIN, LINDA KAY
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:KAY
Last Name:HARDIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 744
Mailing Address - Street 2:
Mailing Address - City:MOORELAND
Mailing Address - State:OK
Mailing Address - Zip Code:73852-0744
Mailing Address - Country:US
Mailing Address - Phone:580-216-6549
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 744
Practice Address - Street 2:
Practice Address - City:MOORELAND
Practice Address - State:OK
Practice Address - Zip Code:73852-0744
Practice Address - Country:US
Practice Address - Phone:580-216-6549
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-11
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist