Most Relevant Information
Provider Data
| NPI Number: | 1003386137 |
| Provider Name: | KATIE CORNELL |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/02/2018 |
| Last Updated: | 12/02/2018 |
Provider Practice Location
2862 DEERHAVEN DR
CINCINNATI
OH
452444524
Practice Location Phone/Fax
| Phone: | 5135627891 |
| Fax: |
Provider Mailing Location
2862 DEERHAVEN DR
CINCINNATI
OH
452442819
Provider Mailing Phone/Fax
| Phone: | 5135627891 |
| Fax: |