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Individual

JAMES KYLE HORLACHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 WYOMING ST, SUITE 4140, DAYTON, OH 45409-2722
(937) 208-4110
(937) 208-6260
Mailing address
1 WYOMING ST, SUITE 4140, DAYTON, OH 45409-2722
(937) 208-4110
(937) 208-6260

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35-03-3673
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000012161
ANTHEM BLUE CROSS
05
0169339
OH
01
4013797
AETNA
Enumeration date
09/22/2006
Last updated
11/14/2013
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