MR. Ryne Edward Hardesty, PA-C

NPI #1962241190 in Louisville, Kentucky

Provider Information

NPI Number: 1962241190
Entity Type: Individual
Name: MR. Ryne Edward Hardesty, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 20, 2024
Last Updated: Sep 19, 2024

Practice Location

Address: 3991 DUTCHMANS LN STE 405
City: Louisville
State: Kentucky
ZIP Code: 40207-4723
Phone: (502) 629-2500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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