Individual
DR. RICHARD SCOTT CORNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6400 DUTCHMANS PKWY, STE 250, LOUISVILLE, KY 40205-3340
(502) 587-9660
(502) 540-5615
Mailing address
6400 DUTCHMANS PKWY, STE 250, LOUISVILLE, KY 40205-3340
(502) 587-9660
(502) 540-5615
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
33948
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1092925
PASSPORT
KY
05
—
64339484
—
KY
01
—
ANTHEM
000000064450
KY
Enumeration date
06/02/2005
Last updated
08/30/2007
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