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Individual
KRISTINE M CORNEJO
Active
Individual
KRISTINE M CORNEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
01095798A
IN
207ZP0101X
Anatomic Pathology Physician
Primary
254136
MA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
01095798A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110095784A
—
MA
Enumeration date
07/29/2008
Last updated
05/28/2025
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