Search › Oklahoma › 175T00000X
Shane Hardemon
NPI 1003634478 · on the registry since 2024 · sole proprietor
Practice
- Address
- 444 E College Ave
Blackwell, OK 74631 - Phone
- (580) 401-7527
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma