Individual
KEVIN HORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., LP
Contact information
Practice address
7066 STILLWATER BLVD N, OAKDALE, MN 55128-3937
(651) 777-5222
(651) 251-5111
Mailing address
7066 STILLWATER BLVD N, OAKDALE, MN 55128-3937
(651) 777-5222
(651) 251-5111
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2442
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1010027
P1
MN
01
—
122076
UC
MN
01
—
20104
HP
MN
01
—
62-42623
UBH
MN
01
—
8H731HO
BCBS
MN
Enumeration date
07/27/2006
Last updated
07/08/2007
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