Individual
DR. KATHLEEN LESLEY HORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD00042414
WA
207RP1001X
Pulmonary Disease Physician
Primary
MD00042414
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5866HO
BLUE SHIELD #
WA
05
—
8458655
—
WA
01
—
8886233
MEDICARE PTAN
WA
01
—
P00348774
RAILROAD MC #
WA
01
—
US7694846
AETNA SPECIALIST PIN
WA
Enumeration date
06/12/2006
Last updated
04/11/2011
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