Cornejo, Kristine M
Cornejo, Kristine M is an individual health care provider with primary practice located at 55 Lake Ave N Department Of Anatomic Pathology, Worcester MA 01655-0002. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology is her primary health care specialty. Cornejo, Kristine M can be contacted via phone (508) 793-6100.Contact Information
Primary practice address
55 Lake Ave N Department Of Anatomic Pathology
Worcester MA 01655-0002
Phone: (508) 793-6100
Fax: (508) 793-6110
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ZD0900X | 01095798A | Indiana |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 01095798A | Indiana |
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 254136 | Massachusetts |
Profile Details
| NPI number | 1427214592 |
|---|---|
| LBN Legal business name | Cornejo, Kristine M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2008 |
| Last updated | May 28th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427214592 | NPPES |
| Massachusetts | MEDICAID | 110095784A |
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