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Individual

KATHLEEN R CORNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
848 ROUTE 50, BURNT HILLS, NY 12027
(518) 831-1500
(518) 280-8464
Mailing address
107 COMMERCIAL ST, MASHPEE, MA 02649-6507
(508) 477-7090
(507) 477-3909

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F339768
NY

Other

Enumeration date
09/18/2015
Last updated
11/05/2019
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