Individual
KIRTRICA CAMPBELL CORNELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
125 E MAXWELL ST, SUITE 200, LEXINGTON, KY 40508-2678
(859) 218-2817
Mailing address
125 E MAXWELL ST, SUITE 200, LEXINGTON, KY 40508-2678
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3007728
KY
Other
Enumeration date
11/05/2013
Last updated
11/02/2016
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