| Ms Kelly Renee Hardesty, NP | |
|
703 N Main St, Kouts, IN 46347-9692 | |
| (219) 766-3131 | |
| Not Available |
| Full Name | Ms Kelly Renee Hardesty |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 703 N Main St, Kouts, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265957971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 28187389A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hrs Home Health Of Indiana, Llc | Merrillville, IN | Home health agency |
| Northwest Health - Porter | Valparaiso, IN | Hospital |
| Central Dupage Hospital | Winfield, IL | Hospital |
| Methodist Hospitals Inc | Gary, IN | Hospital |
| Indiana University Health Starke Hospital | Knox, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Infectious Disease Specialists Pc | 4981691862 | 10 |
| Entity Name | Infectious Disease Specialists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245217215 PECOS PAC ID: 4981691862 Enrollment ID: O20040430000920 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kelly Renee Hardesty, NP 401 Ross Ave, Kouts, IN 46347-9560 Ph: (219) 678-7714 | Ms Kelly Renee Hardesty, NP 703 N Main St, Kouts, IN 46347-9692 Ph: (219) 766-3131 |
Karen Dunning, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 703 N Main St, Kouts, IN 46347 Phone: 219-766-3131 Fax: 219-766-0303 | |
Kathy Lynch, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 705 N Main St., Kouts, IN 46347 Phone: 219-766-3131 Fax: 219-766-0303 |