Healthcare Provider Details

I. General information

NPI: 1609708122
Provider Name (Legal Business Name): KIMBERLY ANNE HORNE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KIMBERLY ANNE HENSCHEL RN

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

708 W CARR ST
DUNN NC
28334-3220
US

IV. Provider business mailing address

708 W CARR ST
DUNN NC
28334-3220
US

V. Phone/Fax

Practice location:
  • Phone: 919-413-8871
  • Fax:
Mailing address:
  • Phone: 919-413-8871
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number172320
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: