Individual
KEVIN C HORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
520 BROOKDALE DR, LOWER LEVEL, STATESVILLE, NC 28677-4108
(704) 872-1037
(704) 872-1987
Mailing address
2800 SAINT LEO STREET, GREENSBORO, NC 27405-3382
(336) 621-9500
(336) 621-0980
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
CP2375
DE
224P00000X
Prosthetist
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7704084
—
NC
05
—
7795115
—
NC
Enumeration date
08/15/2007
Last updated
11/04/2011
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