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Individual
MS. CARISSA A HORTON
Active
Individual
MS. CARISSA A HORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12-01033
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200300400A
—
KS
01
—
426807
BLUE CROSS BLUE SHIELD
KS
Enumeration date
10/03/2005
Last updated
04/04/2022
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