Individual
KATHLEEN M HORNBAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1000 GRANBY PARK DRIVE SOUTH, GRANBY, CO 80446
(970) 887-5800
Mailing address
GENERAL DELIVERY, GRANBY, CO 80446-9999
(402) 779-6075
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
101100
NE
Other
Enumeration date
07/10/2009
Last updated
02/10/2020
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