Individual
DR. VANCE LEE CORNELISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D. C.
Contact information
Practice address
11523 KANIS RD, SUITE D, LITTLE ROCK, AR 72211-3724
(501) 221-8640
(501) 221-4379
Mailing address
PO BOX 242161, LITTLE ROCK, AR 72223-0021
(501) 221-8640
(501) 221-4379
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1606
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152951718
—
AR
Enumeration date
05/11/2006
Last updated
01/02/2008
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