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NPI Code Detail

MEDICARE: KODI ALLEN HORN CDCA

MEDICARE: KODI ALLEN HORN CDCA
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
1171M00000XCase Manager/Care Coordinator
2101YA0400XAddiction (Substance Use Disorder) CounselorCDCA.195749OH

General Provider Information

NPI Number : 1922851153
Entity Type Code : Individual
Provider Name (Legal Business Name) : KODI ALLEN HORN CDCA
Provider Business Mailing Address
First Line : 211 S 5TH ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43215-5203
Country : US
Telephone Number : 614-567-6274
Fax Number : 855-604-0927
Provider Business Practice Location Address
First Line : 6020 GROVEPORT RD
Second Line :
City : GROVEPORT
State : OH
Zip : 43125-1005
Country : US
Telephone Number : 614-567-6274
Fax Number : 855-604-0927
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2024
Last Update Date : 05/07/2026

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Directions to “ KODI ALLEN HORN CDCA” Practice Location

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