Healthcare Provider Details

I. General information

NPI: 1497953400
Provider Name (Legal Business Name): KARI L. HORN D.C., L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2007
Last Update Date: 07/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1023 MAIN PLAZA DR
WENTZVILLE MO
63385-1170
US

IV. Provider business mailing address

218 HIGHLAND VILLAGE DR
VALLEY PARK MO
63088-1540
US

V. Phone/Fax

Practice location:
  • Phone: 636-639-8944
  • Fax: 636-639-8922
Mailing address:
  • Phone: 314-276-9587
  • Fax: 636-639-8922

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number006627
License Number StateMO

VIII. Authorized Official

Name: DR. KARI L. HORN
Title or Position: PRESIDENT
Credential: D.C.
Phone: 314-276-9587