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NPI Code Detail

MEDICARE: KENDALL HORNE RN

MEDICARE: KENDALL HORNE RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WE0003XEmergency Registered Nurse555508OH

General Provider Information

NPI Number : 1548193956
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENDALL HORNE RN
Provider Business Mailing Address
First Line : 5454 DETROIT AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44102-3028
Country : US
Telephone Number : 630-335-0921
Fax Number :
Provider Business Practice Location Address
First Line : 18101 LORAIN AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44111-5612
Country : US
Telephone Number : 216-476-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2026
Last Update Date : 06/05/2026

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Directions to “ KENDALL HORNE RN” Practice Location

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