Healthcare Provider Details

I. General information

NPI: 1275870057
Provider Name (Legal Business Name): KAREN K HORTON APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/14/2013
Last Update Date: 05/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1661 AIRPORT RD STE D
HOT SPRINGS AR
71913-8184
US

IV. Provider business mailing address

4517 PARK AVE
HOT SPRINGS AR
71901-9476
US

V. Phone/Fax

Practice location:
  • Phone: 501-625-7500
  • Fax:
Mailing address:
  • Phone: 501-623-7900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA003804
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: