Individual
DR. TAYLOR CORNWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3269 N STOCKTON HILL RD, KINGMAN, AZ 86409-3619
(928) 263-4466
Mailing address
5480 ROADRUNNER AVE, KINGMAN, AZ 86409
(619) 764-9654
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
000000
AZ
207P00000X
Emergency Medicine Physician
Primary
R4137
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/02/2023
Last updated
03/12/2026
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