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Contact Information

KENNETH L CORNELL, DPM
940 HESTERS CROSSING
ROUND ROCK, TX78681-8018
 Phone: 512-244-9024
 Fax: 512-218-3704
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for KENNETH L CORNELL · (Male)

NPI Number 1538175872
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/31/2006
Last updated 12/15/2010 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 1790
  • TX Medicaid 183355001
  • TX Medicaid 183355002
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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