Healthcare Provider Details

I. General information

NPI: 1326476920
Provider Name (Legal Business Name): CHRISTOPHER STEPHEN HORD PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2013
Last Update Date: 08/19/2022
Certification Date: 08/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

645 INTERSTATE DR
GRAYSON KY
41143-1704
US

IV. Provider business mailing address

20 ALPINE DR
BATESVILLE IN
47006-8477
US

V. Phone/Fax

Practice location:
  • Phone: 606-474-0669
  • Fax: 64-740-3766
Mailing address:
  • Phone: 812-932-3224
  • Fax: 812-932-3229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: