PETER B HARDIN, MD, Radiation Oncology CAMPBELLSVILLE, KY

Contact Information

PETER B HARDIN, MD

125 GREENBRIAR DR
CAMPBELLSVILLE, KY 42718-9616

Phone: 270-789-9999
Fax: 270-789-0247
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Radiation Oncology	2085R0001X	92	Physician/Radiation Oncology

Indicates primary specialty

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NPI Profile & details for PETER B HARDIN · (Male)

NPI #	`1366419814`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	03/03/2006
Last updated	02/01/2017 - About 9 years ago
Sole proprietor ¹	No
Identifiers	KY License # 42374 MI License # 4301081290 KY Medicaid 7100060870 MI Medicaid 104495980 Other 000000664006 ANTHEM Other 1366419814 TRICARE KY Other C55045 CUMBERLAND HEALTHCARE KY Other 50028881 PASSPORT HEALTH PLAN/PASSPORT ADVANTAGE
Hospital affiliation(s)	TAYLOR REGIONAL HOSPITAL - (Acute Care) 1700 OLD LEBANON ROAD CAMPBELLSVILLE, KY 42718

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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