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Contact Information

MARK S CORNETT, MD
4123 DUTCHMANS LN STE G2
LOUISVILLE, KY40207-4758
 Phone: 502-899-6601
 Fax: 502-899-6644
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for MARK S CORNETT · (Male)

NPI # 1003873423
Status Active
Credentials MD
Entity Individual
Enumeration date 04/28/2006
Last updated 04/17/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • KY License # 28989
  • IN Medicaid 200035990
  • KY Medicaid 64289895
  • KY Other 5941087 AETNA PROVIDER NUMB
  • KY Other 000000178939 ANTHEM PROVIDER NUMB
  • KY Other 1757375 CIGNA PROVIDER NUMBER
  • KY Other 000020583J HUMANA PROVIDER NUMB
  • KY Other 1118125 PASSPORTPROVIDER NUMB
  • KY Other 920005753 RAILROAD MEDICARE
Hospital affiliation(s)
  • NORTON HOSPITALS INC - (Acute Care)
    200 EAST CHESTNUT STREET
    LOUISVILLE, KY 40202
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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