Individual
MEAGAN CORNELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7940 DESTINY BLVD, FORT CAMPBELL, KY 42223
(931) 401-8830
Mailing address
3381 SHIVAS RD, CLARKSVILLE, TN 37042-8610
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
007053
TN
225100000X
Physical Therapist
Primary
007053
KY
Other
Enumeration date
08/23/2018
Last updated
10/03/2025
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