Cornell, Kenneth L

Cornell, Kenneth L is an individual health care provider with primary practice located at 940 Hesters Crossing , Round Rock TX 78681-8018. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Cornell, Kenneth L can be contacted via phone (512) 244-9024.

Contact Information

Primary practice address
940 Hesters Crossing Round Rock TX 78681-8018
Phone: (512) 244-9024
Fax: (512) 218-3704
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1790 Texas

Profile Details

NPI number 1538175872
LBN Legal business name Cornell, Kenneth L
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Dec 15th, 2010 - about 14 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 1538175872 NPPES
Texas MEDICAID 183355001
Texas MEDICAID 183355002

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