1871662932

Everything you always wanted to know about HARDEN KEITH M.D. but were afraid to ask.

HARDEN KEITH M.D.

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Provider Last Name Provider First Name Provider Credential
HARDEN KEITH M.D.
Gender:
Male
Enumeration date:
2006-11-06
Last update date:
2017-03-17
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
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Identifiers

identifier description issuer state
G75807 Medicare UPIN none none

Taxonomies

Taxonomy State License Number Primary?
207Q00000X Family Medicine NY 228183

Phone Numbers

Type Number
Mailing Address Telephone Number 3158013282
Mailing Address Fax Number 3158018391
Practice Location Address Telephone Number 3156245226
Practice Location Address Fax Number 3156245279

Addresses

Type Address City State Postal Country
Mailing Address 2209 GENESEE ST URGENT CARE DEPARTMENT UTICA NY 13501 NY
Practice Location Address 1676 SUNSET AVE BUSINESS OFFICE UTICA NY 13502 NY

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