Individual
DR. KIM JEANNINE HORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1740 W 27TH ST, 209, HOUSTON, TX 77008-1440
(713) 863-7063
Mailing address
1740 W 27TH ST, 209, HOUSTON, TX 77008-1440
(713) 863-7063
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
H5712
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10014568
MEDICAID
TX
05
—
25358
—
TX
Enumeration date
02/23/2007
Last updated
11/09/2010
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