Individual
SARA E KORNELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1746 COLE BLVD STE 150, LAKEWOOD, CO 80401-3267
(303) 914-8800
Mailing address
1746 COLE BLVD STE 150, LAKEWOOD, CO 80401-3267
(303) 914-8800
(303) 865-5788
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1759-023
WI
363A00000X
Physician Assistant
Primary
PA-3274
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41990600
—
WI
Enumeration date
03/27/2006
Last updated
02/15/2023
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