Individual
DR. CHRISTOPHER BLAIR CORNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 AUDUBON PLAZA DR # 276, LOUISVILLE, KY 40217-1318
(502) 447-8786
(502) 447-8623
Mailing address
9152 TAYLORSVILLE RD # 276, LOUISVILLE, KY 40299-1752
(502) 447-8786
(502) 447-8623
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
36514
KY
2085R0204X
Vascular & Interventional Radiology Physician
36514
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200335300
—
IN
05
—
64033871
—
KY
Enumeration date
12/27/2005
Last updated
09/21/2023
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