Individual
KAMESHNI CORNELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1210 E VERMEER RD, PELLA, IA 50219-7660
(641) 621-7670
(641) 621-7969
Mailing address
712 KETTLAND KRING, PELLA, IA 50219-7808
(641) 777-0289
(641) 621-7969
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002002
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002002
IOWA LICENSE
IA
01
—
1659608073
NPI
IA
Enumeration date
11/05/2009
Last updated
03/07/2023
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