Cornell, Kelley M
Cornell, Kelley M is an individual health care provider with primary practice located at 200 Unicorn Park Dr Ste 302 , Woburn MA 01801-3342. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Cornell, Kelley M can be contacted via phone (781) 756-2308.Contact Information
Primary practice address
200 Unicorn Park Dr Ste 302
Woburn MA 01801-3342
Phone: (781) 756-2308
Fax: (781) 756-4798
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 156867 | Massachusetts |
Profile Details
| NPI number | 1427017276 |
|---|---|
| LBN Legal business name | Cornell, Kelley M |
| Credentials | M.D., FACS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2006 |
| Last updated | Jun 8th, 2022 - about 4 years ago |
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 | 1427017276 | NPPES |
| Massachusetts | MEDICAID | 3178773 | |
| Massachusetts | Other | G68888 |
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