Individual
KIMBERLY B. HORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2711 CENTER DR, VERNON, TX 76384-6454
(940) 357-1266
Mailing address
2711 CENTER DR, VERNON, TX 76384-6454
(940) 357-1266
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
109025
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0073397
BLUE LINK #
TX
01
—
109025
HUMANA ID #
TX
01
—
86373T
BCBS PROVIDER #
TX
Enumeration date
02/15/2006
Last updated
02/22/2022
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