MEDICARE: ALAN DALE CORNETT D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	05-32520	KS
2	207X00000X	Orthopaedic Surgery Physician	2007005515	MO

General Provider Information

NPI Number	:	1942445317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALAN DALE CORNETT D.O.

Provider Business Mailing Address
First Line	:	2790 CLAY EDWARDS DR STE 650
Second Line	:
City	:	NORTH KANSAS CITY
State	:	MO
Zip	:	64116-3279
Country	:	US
Telephone Number	:	816-459-7500
Fax Number	:

Provider Business Practice Location Address
First Line	:	2790 CLAY EDWARDS DR
Second Line	:	SUITE #650
City	:	NORTH KANSAS CITY
State	:	MO
Zip	:	64116-3276
Country	:	US
Telephone Number	:	816-459-7500
Fax Number	:	816-459-9611

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/12/2008
Last Update Date	:	04/02/2026

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Directions to “ ALAN DALE CORNETT D.O.” Practice Location

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