Individual
CHARLES W HORNER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 CARONDELET DR, KANSAS CITY, MO 64114-4673
(913) 599-6777
(913) 599-6955
Mailing address
9212 NIEMAN RD, OVERLAND PARK, KS 66214-1868
(913) 599-6777
(913) 599-3955
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
107584
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21894034
BCBS PROVIDER NUMBER
MO
Enumeration date
06/13/2006
Last updated
07/08/2007
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