Individual
MR. KYLE LELAND HORNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 S. MAIN ROAD, LEBANON, OR 97355
(541) 258-7546
(541) 570-1744
Mailing address
2500 S. MAIN ROAD, LEBANON, OR 97355
(541) 258-7546
(541) 570-1744
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD153145
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500633817
—
OR
Enumeration date
12/28/2006
Last updated
04/19/2016
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