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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 2 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 1427017276 NPPES
Massachusetts MEDICAID 3178773
Massachusetts Other G68888

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