Provider Demographics
NPI:1396507364
Name:HORN, SARA KATE
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:KATE
Last Name:HORN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 FAIRWAY DR
Mailing Address - Street 2:
Mailing Address - City:OPP
Mailing Address - State:AL
Mailing Address - Zip Code:36467-3548
Mailing Address - Country:US
Mailing Address - Phone:334-338-5649
Mailing Address - Fax:
Practice Address - Street 1:212 FAIRWAY DR
Practice Address - Street 2:
Practice Address - City:OPP
Practice Address - State:AL
Practice Address - Zip Code:36467-3548
Practice Address - Country:US
Practice Address - Phone:334-338-5649
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program