Hornsby, Kevin Martin

Hornsby, Kevin Martin is an individual health care provider with primary practice located at 4415 Us Highway 331 S , Defuniak Springs FL 32435-6307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hornsby, Kevin Martin can be contacted via phone (850) 951-4556.

Contact Information

Primary practice address
4415 Us Highway 331 S Defuniak Springs FL 32435-6307
Phone: (850) 951-4556
Fax: (850) 951-4527
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME87878 Florida

Profile Details

NPI number 1619908910
LBN Legal business name Hornsby, Kevin Martin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Jun 16th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619908910 NPPES
Florida MEDICAID 103754700
Florida MEDICAID 529802110

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