Individual
MS. KATHRYN MARY HORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MS
Contact information
Practice address
445 S MAIN ST, WEST HARTFORD, CT 06110-1646
(860) 696-2200
(860) 561-7272
Mailing address
445 S MAIN ST, WEST HARTFORD, CT 06110-1646
(860) 696-2200
(860) 561-7272
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
000457
CT
363AM0700X
Medical Physician Assistant
Primary
000457
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891755518
NPI
CT
Enumeration date
03/25/2006
Last updated
12/19/2013
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