Cornia, Kirsten Amber

Cornia, Kirsten Amber is an sole proprietor health care provider with primary practice located at 237 26Th St , Ogden UT 84401-3105. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Cornia, Kirsten Amber can be contacted via phone (801) 625-3700.

Contact Information

Primary practice address
237 26Th St Ogden UT 84401-3105
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1962696799
LBN Legal business name Cornia, Kirsten Amber
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 5th, 2007
Last updated Jul 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962696799 NPPES
Utah MEDICAID 876000308007

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