Individual
ANITA F CORNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
210 MARIE LANGDON DR, MANCHESTER, KY 40962-6388
(606) 598-5104
(606) 598-0983
Mailing address
509 MEMORIAL DR STE 2, MANCHESTER, KY 40962-6196
(606) 598-5104
(606) 598-0983
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27472
KY
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
27472
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64274723
—
KY
01
—
P01490899
RR MEDICARE
KY
Enumeration date
01/25/2006
Last updated
03/07/2023
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