Provider Demographics
NPI:1952975559
Name:HONER, KURT
Entity Type:Individual
Prefix:
First Name:KURT
Middle Name:
Last Name:HONER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 INDUSTRIAL DR
Mailing Address - Street 2:
Mailing Address - City:ANGOLA
Mailing Address - State:IN
Mailing Address - Zip Code:46703-1051
Mailing Address - Country:US
Mailing Address - Phone:260-418-2647
Mailing Address - Fax:260-454-2100
Practice Address - Street 1:200 INDUSTRIAL DR
Practice Address - Street 2:
Practice Address - City:ANGOLA
Practice Address - State:IN
Practice Address - Zip Code:46703-1051
Practice Address - Country:US
Practice Address - Phone:260-418-2647
Practice Address - Fax:260-454-2100
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-18
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies