Cornwell, Kevin Scott
Cornwell, Kevin Scott is an individual health care provider with primary practice located at 111 W Stone Dr Ste 100 , Kingsport TN 37660-6027. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Cornwell, Kevin Scott can be contacted via phone (423) 247-5197.Contact Information
Primary practice address
111 W Stone Dr Ste 100
Kingsport TN 37660-6027
Phone: (423) 247-5197
Fax: (423) 247-5254
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD40735 | Tennessee |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 2020-00015 | North Carolina |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 40735 | Tennessee |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 2020-00015 | North Carolina |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 40735 | Tennessee |
Profile Details
| NPI number | 1982634754 |
|---|---|
| LBN Legal business name | Cornwell, Kevin Scott |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Feb 29th, 2024 - about 7 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982634754 | NPPES |
| Tennessee | Other | P00855262 | MEDICARE RR |
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