NPI 1619329307
Kenneth Hortman
Practice location
- Address
- 143 E Crusselle St, Roberta, GA 31078-4866
- Phone
- (478) 836-2994
- Mailing address
- PO Box 900, Roberta, GA 31078-0900
Registered specialties
Denturist
Primary
Registry record
- NPI
- 1619329307
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 6 Jul 2016
- Record last updated
- 6 Jul 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.