Kelly J Hardin (NPI# 1225206436, PAC ID# 9032289731) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1225206436 |
| PAC ID by PECOS | 9032289731 |
| Professional Enrollment ID | I20080606000749 |
| Full Name | Kelly J Hardin |
| Organization Legal Name | MISSION FAMILY PRACTICE, PLLC |
| Address |
2630 E Citizens Dr Suite 13 Fayetteville AR 72703-4797 |
| Phone Number | 4795716000 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4587987540 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040004 | WASHINGTON REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2630 E Citizens Dr, Suite 13, Fayetteville, AR 72703-4797 | 4795716000 | MISSION FAMILY PRACTICE, PLLC |
| Organization Legal Name | MISSION FAMILY PRACTICE, PLLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan A Hueter | Family Medicine | Mission Family Practice, Pllc | 2630 E Citizens Dr, Suite 13, Fayetteville, AR 72703-4797 |
| Mark A Bonner | Family Medicine | Mission Family Practice, Pllc | 2630 E Citizens Dr, Suite 13, Fayetteville, AR 72703-4797 |
| Debra G Walker | Nurse Practitioner | Mission Family Practice, Pllc | 2630 E Citizens Dr, Suite 13, Fayetteville, AR 72703-4797 |
| Street Address |
2630 E CITIZENS DR SUITE 13 |
| City | FAYETTEVILLE |
| State | AR |
| Zip | 72703-4797 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Edgar Miller | Family Medicine | Integrated Community Clinics Pa | 2630 E Citizens Dr, Suite 3, Fayetteville, AR 72703-4797 |
| Ryan A Hueter | Family Medicine | Mission Family Practice, Pllc | 2630 E Citizens Dr, Suite 13, Fayetteville, AR 72703-4797 |
| Michael Davis Payne Ii | Family Medicine | Integrated Community Clinics Pa | 2630 E Citizens Dr, Suite 3, Fayetteville, AR 72703-4797 |
| Jamie L Mcdermott | Registered Dietitian Or Nutrition Professional | Integrated Community Clinics Pa | 2630 E Citizens Dr, Suite 3, Fayetteville, AR 72703-4797 |
| Mark A Bonner | Family Medicine | Mission Family Practice, Pllc | 2630 E Citizens Dr, Suite 13, Fayetteville, AR 72703-4797 |
| Melissa Stacey Romero | Nurse Practitioner | Integrated Community Clinics Pa | 2630 E Citizens Dr, Suite 3, Fayetteville, AR 72703-4797 |
| Brock Alan Johnson | Chiropractic | 2630 E Citizens Dr, Suite 6, Fayetteville, AR 72703-4797 | |
| Debra G Walker | Nurse Practitioner | Mission Family Practice, Pllc | 2630 E Citizens Dr, Suite 13, Fayetteville, AR 72703-4797 |
| Amanda Lamb | Nurse Practitioner | Integrated Community Clinics Pa | 2630 E Citizens Dr, Suite 3, Fayetteville, AR 72703-4797 |
| Mary Christine Haggard | Registered Dietitian Or Nutrition Professional | Access Urgent Care | 2630 E Citizens Dr, Suite 3, Fayetteville, AR 72703-4797 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rhonda R Pauls | Nurse Practitioner | Medical Associates of Northwest Arkansas, Pa | 3383 N Mana Court, Fayetteville, AR 72703 |
| Kevin Hurlbut | Physical Medicine and Rehabilitation | 153 E Monte Painter, Fayetteville, AR 72703 | |
| Karen C Reynolds | Nurse Practitioner | Optimal Pain and Wellness | 1708 E Joyce, Fayetteville, AR 72703-0048 |
| Kamra E Mays | Psychologist, Clinical | Optimal Pain and Wellness | 1708 E Joyce, Fayetteville, AR 72703-0048 |
| Mary Frances Daut | Physical Medicine and Rehabilitation | Optimal Pain and Wellness | 1708 E Joyce, Fayetteville, AR 72703-0048 |
| Ornette L Gaines | Family Medicine | Optimal Pain and Wellness | 1708 E Joyce, Fayetteville, AR 72703-0048 |
| Regina E Thurman | Physical Medicine and Rehabilitation | Optimal Pain and Wellness | 1708 E Joyce, Fayetteville, AR 72703-0048 |
| Amberlyn B Naples | Nurse Practitioner | Optimal Pain and Wellness | 1708 E Joyce, Fayetteville, AR 72703-0048 |
| Karen B Newton | Registered Dietitian Or Nutrition Professional | Washington Regional Medical System | 82 W Sunbridge Dr, Washington Regional Endocrinology, Fayetteville, AR 72703-1822 |
| Michael Saitta | Rheumatology | 6 W Sunbridge Dr, Fayetteville, AR 72703-1822 | |
| Find all physicians in zip 72703 | |||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FAYETTEVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kelly J Hardin.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.