Individual
KIMBERLY NOELE CORNWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7315 E FRONTAGE RD STE 101, MERRIAM, KS 66204-1658
(913) 789-3937
(913) 789-3867
Mailing address
11517 W 115TH ST, OVERLAND PARK, KS 66210-3484
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-45499-012
KS
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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