Individual
KIM HORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1001 S RAISINVILLE RD, MONROE, MI 48161-9754
(734) 384-8595
(734) 243-5506
Mailing address
6787 MAPLELAWN DR, YPSILANTI, MI 48197-1886
(734) 999-7005
(919) 887-0695
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301076615
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4856296
—
MI
Enumeration date
07/26/2006
Last updated
07/26/2024
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