Individual
KILEY ELIZABETH HORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4114 OAKWOOD TRL, PETOSKEY, MI 49770-8575
(231) 758-2158
Mailing address
4114 OAKWOOD TRL, PETOSKEY, MI 49770-8575
(231) 758-2158
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MI
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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