Horn, Kelly

Horn, Kelly is an individual health care provider with primary practice located at 90-04 161St Street 5Th Floor, Jamaica NY 11432-6103. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Horn, Kelly can be contacted via phone (718) 523-2123.

Contact Information

Primary practice address
90-04 161St Street 5Th Floor Jamaica NY 11432-6103
Phone: (718) 523-2123
Fax: (718) 523-5833
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 234578 New York

Profile Details

NPI number 1699730580
LBN Legal business name Horn, Kelly
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Oct 25th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699730580 NPPES
New York MEDICAID 02674317

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