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KEVIN HORN ARNP
Pediatrics >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1205808128
Individual Registrant: KEVIN HORN ARNP
Gender: M
Gender: M
Location and contact information for practice:
311 NW 250TH ST NEWBERRY, FL 32669-4454 US
Tel: 352-472-6776 Fax: 352-472-6778
Tel: 352-472-6776 Fax: 352-472-6778
Contact information for business:
789 W DUVAL ST LAKE CITY, FL 32055-3811 US
Tel: 386-755-5044 Fax: 386-755-2518
Tel: 386-755-5044 Fax: 386-755-2518
Registration Information:
NPI: 1205808128
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LP0200X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Pediatrics | FL | ARNP9224044 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 3065758000 | FL | 05 |
