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Individual

MS. KATHERINE ALEXANDRA VAN HORNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
800 ROSE ST, CC180 A ROACH BUILDING, LEXINGTON, KY 40536-0093
(859) 323-2753
Mailing address
800 ROSE ST, CC180 A ROACH BUILDING, LEXINGTON, KY 40536-0093
(859) 323-2753

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
278940
MA
363LA2100X
Acute Care Nurse Practitioner
Primary
3007110
KY
363LA2100X
Acute Care Nurse Practitioner
RN278940
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110083789A
MA
Enumeration date
09/28/2009
Last updated
01/22/2015
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