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Contact Information

KRISTIN CORNELL, PA-C
4755 OGLETOWN STANTON RD STE 2670
NEWARK, DE19718-5544
 Phone: 302-733-2438
 Fax: 302-733-4832
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for KRISTIN CORNELL · (Female)

NPI Number 1134986003
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 03/06/2024
Last updated 08/28/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • DE License # C5-0012078
  • MD License # C0009422
  • PA License # RT007346
Hospital affiliation(s) Not Available
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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