Individual
KAITLIN DANIELLE HORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
84 DORMITORY ROW WEST, UNIVERSITY, MS 38677
(800) 891-4596
Mailing address
84 DORMITORY ROW WEST, UNIVERSITY, MS 38677
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
MS
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MS
Other
Enumeration date
06/06/2024
Last updated
07/02/2024
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