Individual
MS. CARISSA A HORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
4201 ANDERSON AVE STE C, MANHATTAN, KS 66503-7603
(785) 539-3504
(785) 539-8597
Mailing address
4201 ANDERSON AVE STE C, MANHATTAN, KS 66503-7603
(785) 539-3504
(785) 539-8597
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12-01033
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200300400A
—
KS
01
—
426807
BLUE CROSS BLUE SHIELD
KS
Enumeration date
10/03/2005
Last updated
04/04/2022
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