Healthcare Provider Details

I. General information

NPI: 1881743706
Provider Name (Legal Business Name): MARK KENDALL HORTON CFA,
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2471 S JASMINE PL SUITE 100
DENVER CO
80222-6229
US

IV. Provider business mailing address

2471 S JASMINE PL SUITE 100
DENVER CO
80222-6229
US

V. Phone/Fax

Practice location:
  • Phone: 303-249-5253
  • Fax: 303-862-9553
Mailing address:
  • Phone: 303-249-5253
  • Fax: 303-862-9553

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZS0410X
TaxonomySurgical Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: