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Individual
DR. KATHRYN DIANA WILSON-HORNEY
Active
Individual
DR. KATHRYN DIANA WILSON-HORNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
595
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA36930281
MEDICARE PTAN
SC
Enumeration date
01/03/2007
Last updated
10/25/2016
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