Kelli Jean Cornwall in Boise - Surgical Technologist
Kelli Jean Cornwall - NPI 1578691036
Kelli Jean Cornwall is a Surgical Technologist in Boise, Idaho. Kelli Jean Cornwall practices all healthcare services and medical treatments related to Surgical Technologist. The NPI Number for Kelli Jean Cornwall is 1578691036. The last update date is 2007-07-08.
Kelli Jean Cornwall's current location address is 6140 Curtisian Ave Ste 102, Boise, Idaho. You can contact this provider via phone number 2083672834 and fax number 2083674227. The mailing address for Kelli Jean Cornwall is 6140 Curtisian Ave Ste 102, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelli Jean Cornwall |
|---|---|
| Address | 6140 Curtisian Ave Ste 102, Boise, Idaho |
| Phone Number | 2083672834 |
| Fax Number | 2083674227 |
| Sole Proprietor | N |
| Credentials | CFA |
NPI Number Detail
| NPI Number | 1578691036 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6140 Curtisian Ave Ste 102 |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837040109 |
| Phone Number | 2083672834 |
| Fax Number | 2083674227 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical Technologist |
|---|---|
| Taxonomy | 246Zs0410X |
| Licence No | 86169 |
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Definition: Surgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the safe and effec |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| SA024 | ID | BLUE CROSS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kelli Jean Cornwall by the Centers for Medicare & Medicaid Services?
The Kelli Jean Cornwall has been issued the NPI (National Provider Identifier) 1578691036, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kelli Jean Cornwall's physical address?
The Kelli Jean Cornwall is physically located at 6140 Curtisian Ave Ste 102, in the city of Boise, ID, with the postal code 837040109.
What is the Kelli Jean Cornwall's area of specialization and corresponding taxonomy classification?
The Kelli Jean Cornwall's specialty field is Surgical Technologist, and it falls under the taxonomy code 246Zs0410X, which categorizes healthcare providers based on their specialties.
When did the Kelli Jean Cornwall receive its 1578691036?
The Kelli Jean Cornwall was issued its 1578691036 on 2007-02-28, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Kelli Jean Cornwall most recently updated or revised?
The details related to Kelli Jean Cornwall, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY