Cornell, Richard Scott

Cornell, Richard Scott is an individual health care provider with primary practice located at 6400 Dutchmans Pkwy Ste 250, Louisville KY 40205-3340. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Cornell, Richard Scott can be contacted via phone (502) 587-9660.

Contact Information

Primary practice address
6400 Dutchmans Pkwy Ste 250 Louisville KY 40205-3340
Fax: (502) 540-5615
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 33948 Kentucky

Profile Details

NPI number 1376545327
LBN Legal business name Cornell, Richard Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2005
Last updated Aug 30th, 2007 - about 18 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 1376545327 NPPES
Kentucky Other 1092925 PASSPORT
Kentucky MEDICAID 64339484 PASSPORT
Kentucky Other ANTHEM PASSPORT

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