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Individual

HAROLD GREGORY HORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
520 N MAYO TRL STE 3, PAINTSVILLE, KY 41240-1811
(606) 789-3188
Mailing address
520 N MAYO TRL STE 3, PAINTSVILLE, KY 41240-1811
(606) 789-3188
(606) 789-3190

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3013919
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100636340
KY
Enumeration date
11/04/2019
Last updated
06/05/2020
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