Individual
MR. WILLY CLARKSON CORNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
550 POPE AVENUE, MUNSON ARMY HEALTH CENTER, FORT LEAVENWORTH, KS 66027
(913) 684-6562
(913) 684-6208
Mailing address
550 POPE AVENUE, MUNSON ARMY HEALTH CENTER, FORT LEAVENWORTH, KS 66027
(913) 684-6562
(913) 684-6208
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2915302
FL
Other
Enumeration date
04/18/2008
Last updated
04/18/2008
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