Doctor Name: | KELLY LESHELL HARDIN |
NPI Number: | 1104169895 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ANP, RN |
License Number: | R072933 |
Business Practice Address: | 1553 W Collin Raye Dr De Queen, AR - 718323801 |
Business Phone Number: | 8705843000 |
Business Fax Number: | 8705843003 |
Mailing Address: | Po Box 740, DE QUEEN |
State: | AR |
Postal Code: | 718320740 |
Phone Number: | 8705843000 |
Fax Number: | 8705843003 |
NPI Enumeration Date: | 04/01/2013 |
NPI Last Update Date: | 08/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163W00000X |
License Number: | R072933 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AR |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N. |