Individual
MRS. IRIS A HORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
275 HWY 770, CORBIN, KY 40701-4732
(865) 777-0909
(865) 777-0910
Mailing address
12752 KINGSTON PIKE, STE E202, KNOXVILLE, TN 37934-0948
(865) 777-0909
(865) 777-0910
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
027825
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
1109859
KY
367500000X
Certified Registered Nurse Anesthetist
4909A
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000484172
BLUE CROSS/BLUE SHIELD
KY
01
—
3057362
BCBS NUMBER
TN
05
—
3602454
—
TN
05
—
74278250
—
KY
01
—
P00336403
RAILROAD MEDICARE PIN
KY
Enumeration date
07/29/2005
Last updated
01/11/2011
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