Individual
DR. GARY L. CORNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6913 W 123RD TER APT 705, OVERLAND PARK, KS 66209-2822
(928) 864-8042
Mailing address
6913 W 123RD TER APT 705, OVERLAND PARK, KS 66209-2822
(928) 864-8042
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
02002889A
IN
207RG0100X
Gastroenterology Physician
Primary
05-23660
KS
207RG0100X
Gastroenterology Physician
2021047585
MO
Other
Enumeration date
01/25/2006
Last updated
12/27/2021
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