Kornblum, Elizabeth Ann

Kornblum, Elizabeth Ann is an individual health care provider with primary practice located at 650 Joel Dr , Fort Campbell KY 42223-5318. She recently has only one registered license in Nursing Service Providers / Case Management, which is considered as her primary health care specialty. Kornblum, Elizabeth Ann can be contacted via phone (270) 798-8306.

Contact Information

Primary practice address
650 Joel Dr Fort Campbell KY 42223-5318
Fax: (270) 956-0223
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Case Management 163WC0400X 159278 Tennessee

Profile Details

NPI number 1538851159
LBN Legal business name Kornblum, Elizabeth Ann
Credentials REGISTERED NURSE
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2023
Last updated May 23rd, 2023 - about last year

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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