Individual
KENNETH FRANKLIN HORNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
25401 75TH ST, SALEM, WI 53168-9527
(262) 843-1550
Mailing address
12032 247TH AVE, TREVOR, WI 53179-9219
(262) 357-1811
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22791-40
WI
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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