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Individual

DR. BRIAN D HORNBACK

Active
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Individual

DR. BRIAN D HORNBACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
36371
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000355688
BCBS
KY
05
2005014-000
WV
01
220033056
TRAVELERS
KY
05
2414168
OH
05
64050552
KY
Enumeration date
03/10/2006
Last updated
03/29/2024
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