Individual
MRS. MARY KATHERINE HORNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
33672 BAYVIEW MEDICAL DR FL 1, LEWES, DE 19958-1687
(302) 645-2437
(833) 629-0820
Mailing address
33672 BAYVIEW MEDICAL DR FL 1, LEWES, DE 19958-1687
(302) 645-2437
(833) 629-0820
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C5-0001050
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103366963001
—
PA
Enumeration date
03/14/2016
Last updated
11/08/2024
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