Provider Demographics
NPI:1013649367
Name:HORNIACEK, KARA
Entity Type:Individual
Prefix:MRS
First Name:KARA
Middle Name:
Last Name:HORNIACEK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:640 BURGESS HILL PASS
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46074-5807
Mailing Address - Country:US
Mailing Address - Phone:815-272-7608
Mailing Address - Fax:
Practice Address - Street 1:247 SHERIDAN RD
Practice Address - Street 2:
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46060-1311
Practice Address - Country:US
Practice Address - Phone:317-770-9999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-27
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN17001571A237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN17001571AOtherINDIANA PROFESSIONAL LICENSING AGENCY