Individual
EARL G CORNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1509 MAIN STREET, PARSONS, KS 67357
(620) 421-0600
(620) 421-8476
Mailing address
PO BOX 3810, JOPLIN, MO 64803
(620) 421-0600
(620) 421-8476
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0419978
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110838
KS BCBS
KS
Enumeration date
06/24/2006
Last updated
10/18/2007
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