Provider Demographics
NPI:1043958333
Name:HORTON, KATHRYN DENISE
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:DENISE
Last Name:HORTON
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:KATHRYN
Other - Middle Name:DENISE
Other - Last Name:STEIMEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11501 MARION RD APT 9207
Mailing Address - Street 2:
Mailing Address - City:SANGER
Mailing Address - State:TX
Mailing Address - Zip Code:76266-3268
Mailing Address - Country:US
Mailing Address - Phone:940-636-9126
Mailing Address - Fax:
Practice Address - Street 1:5100 STONE LAKE DR
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76310-8017
Practice Address - Country:US
Practice Address - Phone:940-689-7200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-25
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPENDING235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist