Individual
KEM SU HOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
160 W FILLMORE ST, COLORADO SPRINGS, CO 80907-6155
(719) 636-1299
(719) 636-9166
Mailing address
PO BOX 15497, COLORADO SPRINGS, CO 80935-5497
(719) 473-4030
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
39335
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83836870
—
CO
01
—
HOA65018
BLUE SHIELD
CO
Enumeration date
11/01/2006
Last updated
03/07/2023
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