Individual
KATHY CAMILLE CORNELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
751 PLEASANT ROW NW, HUNTSVILLE, AL 35816-2537
(256) 533-6311
(256) 536-3403
Mailing address
PO BOX 18488, HUNTSVILLE, AL 35804-8488
(256) 534-8659
(256) 533-0276
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
37020
AL
207Q00000X
Family Medicine Physician
D80148
MD
207Q00000X
Family Medicine Physician
Primary
MD37020
AL
207Q00000X
Family Medicine Physician
MD435367
PA
207Q00000X
Family Medicine Physician
MT188604
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
314179
—
AL
Enumeration date
12/14/2006
Last updated
09/06/2024
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