Healthcare Provider Details

I. General information

NPI: 1053256099
Provider Name (Legal Business Name): KAREN HORACK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 N MAIN ST
RICHARDTON ND
58652-7043
US

IV. Provider business mailing address

PO BOX 320
RICHARDTON ND
58652-0320
US

V. Phone/Fax

Practice location:
  • Phone: 701-264-9243
  • Fax:
Mailing address:
  • Phone: 701-264-9243
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: