Individual
SAMANTHA CORNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3040
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3040
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2015042051
MO
363LF0000X
Family Nurse Practitioner
53-77313-012
KS
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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