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NPI Code Detail

MEDICARE: DAVID HORNSBY

MEDICARE: DAVID HORNSBY
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
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1902157365
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID HORNSBY
Provider Business Mailing Address
First Line : 101 W MUHAMMAD ALI BLVD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40202-1423
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2210 TUCKER STATION RD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40299-4525
Country : US
Telephone Number : 502-589-8600
Fax Number : 502-589-8771
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2012
Last Update Date : 09/26/2012

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Directions to “ DAVID HORNSBY ” Practice Location

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