Individual
KEVIN L HORNBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
730 W MARKET ST, LIMA, OH 45801-4602
(419) 226-4310
(419) 226-4315
Mailing address
2200 JEFFERSON AVE FL 5, TOLEDO, OH 43604-7102
(419) 251-2032
(419) 251-1485
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34005321
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000077070
ANTHEM
—
01
—
0420471
UHC
—
05
—
0869074
—
OH
Enumeration date
08/17/2005
Last updated
05/08/2018
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