Individual
DR. COLTON TYLER CORNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
226 MEDICAL PLAZA LN, WHITESBURG, KY 41858-7425
(606) 633-4871
Mailing address
PO BOX 40, WHITESBURG, KY 41858-0040
(606) 633-4823
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
05012
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2018
Last updated
07/12/2021
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