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Individual

DR. KEVIN DALE HORN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
800 N FANT ST, ANDERSON, SC 29621-5708
(864) 512-1335
(864) 512-8575
Mailing address
800 N FANT ST, ACCOUNTING DEPARTMENT, ATTN: SHELIA WYATT, ANDERSON, SC 29621-5708
(864) 512-2751
(864) 512-3719

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1676
SC
207P00000X
Emergency Medicine Physician
5101018232
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003138408A
GA
05
016761
SC
01
535117
UHC
SC
01
NPI #
BLUE CROSS & BLUE CHOICE
SC
01
P01277557
RAILROAD MEDICARE
SC
Enumeration date
06/30/2009
Last updated
06/03/2014
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