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Individual

KAITLYN ROSE CORNMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
5116 W TAFT RD, LIVERPOOL, NY 13088-4821
(315) 458-6601
Mailing address
5116 W TAFT RD, LIVERPOOL, NY 13088-4821
(315) 458-6601

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
027160
NY

Other

Enumeration date
09/01/2021
Last updated
09/05/2024
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