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Individual

DR. KIMBERLY K HORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
65-1355 KONOKOHAU ROAD, KAMUELA, HI 96743-6367
(808) 887-1533
Mailing address
PO BOX 6367, KAMUELA, HI 96743-6367
(808) 887-1533

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
19559
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8579500
WA
Enumeration date
03/02/2006
Last updated
04/22/2009
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