Individual
CAROL TERESE CORNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
111 COAKLEY LN, SMITHFIELD, KY 40068-7832
(502) 544-8704
Mailing address
111 COAKLEY LN, SMITHFIELD, KY 40068-7832
(502) 544-8704
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3005460
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100075620
—
KY
Enumeration date
02/13/2008
Last updated
06/08/2022
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