Cornetta, Kenneth

Cornetta, Kenneth is an individual health care provider with primary practice located at 601 W 2Nd St , Bloomington IN 47403-2317. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.). Allopathic & Osteopathic Physicians / Hematology is his primary health care specialty. Cornetta, Kenneth can be contacted via phone (812) 353-3717.

Contact Information

Primary practice address
601 W 2Nd St Bloomington IN 47403-2317
Phone: (812) 353-3717
Fax: (812) 353-3713
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 01033270 Indiana
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 01033270A Indiana
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X 01033270 Indiana
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 01033270A Indiana

Profile Details

NPI number 1699731109
LBN Legal business name Cornetta, Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2006
Last updated Mar 23rd, 2020 - 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 1699731109 NPPES
Indiana MEDICAID 100177180

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