Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH HORTMAN
ActiveKENNETH HORTMAN is a 122400000X healthcare provider located in ROBERTA, Georgia. NPI 1619329307 is currently active in the NPPES registry. Verify at CMS.
122400000X · ROBERTA, GA
Registration Details
- NPI Number
- 1619329307
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 6, 2016 (10.10166266254 yrs)
- Last Updated
- Jul 6, 2016
Practice Information
- Address
-
143 E CRUSSELLE STROBERTA, GA, 310784866Browse GA providers · Browse ZIP 31078
- Phone
- 4788362994
- Primary Specialty
-
122400000X
122400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.