| NPI | 1386177749 |
|---|---|
| Former Name | KATHLEEN A HORNBACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA2549) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10002235A) |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2020-01-09 |