Individual
KELLI JEAN CORNWALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFA
Contact information
Practice address
6140 CURTISIAN AVE STE 102, BOISE, ID 83704-0109
(208) 367-2834
(208) 367-4227
Mailing address
6140 CURTISIAN AVE STE 102, BOISE, ID 83704-0109
(208) 367-2834
(208) 367-4227
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
86169
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SA024
BLUE CROSS
ID
Enumeration date
02/28/2007
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us