Individual
DR. KELLY HORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
90-04 161ST STREET, 5TH FLOOR, JAMAICA, NY 11432-6103
(718) 523-2123
(718) 523-5833
Mailing address
60 MADISON AVE FL 5, NEW YORK, NY 10010-1600
(212) 545-2439
(646) 312-0481
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
234578
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02674317
—
NY
Enumeration date
04/20/2006
Last updated
10/25/2017
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