Individual
DR. KENNETH L CORNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
940 HESTERS CROSSING, ROUND ROCK, TX 78681-8018
(512) 244-9024
(512) 218-3704
Mailing address
PO BOX 26726, AUSTIN, TX 78755-0726
(512) 407-8686
(512) 421-4489
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1790
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183355001
—
TX
05
—
183355002
—
TX
Enumeration date
07/31/2006
Last updated
12/15/2010
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