Provider Demographics
NPI:1780607937
Name:HORN, DENNY JAMES (MD)
Entity type:Individual
Prefix:
First Name:DENNY
Middle Name:JAMES
Last Name:HORN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25453 APTITUDE TER
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-3285
Mailing Address - Country:US
Mailing Address - Phone:813-991-0172
Mailing Address - Fax:
Practice Address - Street 1:450 EXECUTIVE PARK
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4204
Practice Address - Country:US
Practice Address - Phone:708-915-5656
Practice Address - Fax:708-915-4022
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY384762085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H52503Medicare UPIN