Kornegay, William Lane

Kornegay, William Lane is an sole proprietor health care provider with primary practice located at 21 Montauk Ave , New London CT 06320-4906. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse, Nursing Service Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Kornegay, William Lane can be contacted via phone (860) 439-6400.

Contact Information

Primary practice address
21 Montauk Ave New London CT 06320-4906
Phone: (860) 439-6400
Fax: (860) 390-1463
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2022030521 Connecticut
Nursing Service Providers / Registered Nurse 163W00000X 116351 Connecticut
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 11161 Connecticut

Profile Details

NPI number 1366160277
LBN Legal business name Kornegay, William Lane
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2022
Last updated Feb 6th, 2023 - about 2 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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