Individual
KATLIN CORNELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
227 S MAIN ST, BEAVER DAM, KY 42320-2131
(270) 274-9221
(270) 955-2003
Mailing address
227 S MAIN ST, BEAVER DAM, KY 42320-2131
(270) 274-9221
(270) 955-2003
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007725
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007725
PT LICENSE
KY
Enumeration date
08/06/2019
Last updated
08/06/2019
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