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Individual
DR. RUSSELL R HORN
Active
Individual
DR. RUSSELL R HORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0520832
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000106575
BLUE CROSS BLUE SHIELD
KS
05
—
100229730C
—
KS
05
—
100229730E
—
KS
05
—
100416440A
—
KS
01
—
103177
BLUE CROSS INDIVIDUAL
KS
01
—
111178
BLUE CROSS BLUE SHIELD
KS
01
—
607740
FIRSTGUARD
KS
01
—
P00057331
RAIL ROAD MEDICARE
KS
Enumeration date
06/10/2005
Last updated
07/01/2008
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