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NPI Code Detail

MEDICARE: LINDA J CORNETT MD

MEDICARE: LINDA J CORNETT MD
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
1207R00000XInternal Medicine Physician20883KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215920392
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA J CORNETT MD
Provider Business Mailing Address
First Line : 650 NEWTOWN PIKE
Second Line :
City : LEXINGTON
State : KY
Zip : 40508-1113
Country : US
Telephone Number : 859-252-2371
Fax Number : 859-288-7516
Provider Business Practice Location Address
First Line : 650 NEWTOWN PIKE
Second Line :
City : LEXINGTON
State : KY
Zip : 40508-1113
Country : US
Telephone Number : 859-252-2371
Fax Number : 859-288-7516
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2005
Last Update Date : 10/07/2008

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