Cornell, Roy Bradford

Cornell, Roy Bradford is an individual health care provider with primary practice located at 2801 New Hartford Rd , Owensboro KY 42303-1320. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Cornell, Roy Bradford can be contacted via phone (270) 683-3720.

Contact Information

Primary practice address
2801 New Hartford Rd Owensboro KY 42303-1320
Phone: (270) 683-3720
Fax: (270) 686-7331
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 30382 Kentucky
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 30382 Kentucky
Allopathic & Osteopathic Physicians / Surgery 208600000X 01047053A Indiana
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 01047053A Indiana

Profile Details

NPI number 1477552354
LBN Legal business name Cornell, Roy Bradford
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Jan 29th, 2008 - about 16 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 1477552354 NPPES
Other 611059472 UMWA
Other 611059472110 UMWA
MEDICAID 200139790 UMWA
Other 020037451 UMWA
Other 000000048408 UMWA
Other 200139790 UMWA
Other 611059472 UMWA
MEDICAID 64303829 UMWA

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