Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 40796 | KY |
N | 207VX0000X | Obstetrician | 40796 | KY |
NPI | 1174737290 |
---|---|
Provider Name | Dr. Kristi Marie Horlander |
First Address | Chicago, IL 60677-6351 |
Second Address | Louisville, KY 40207-4730 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2007 |
Last Update Date | 19/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7100039180 | (05) | KY |
P01071389 | MEDICARE RAILROAD (01) | KY |