Most Relevant Information
Provider Data
| NPI Number: | 1003578014 |
| Provider Name: | CORNEILUS HOOKFIN |
| Entity Type: | Individual |
| Taxonomy Code: | 251B00000X |
| Specialty: | Case Management |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/06/2021 |
| Last Updated: | 10/15/2021 |
Provider Practice Location
188 W HEBBLE AVE
FAIRBORN
OH
453244960
Practice Location Phone/Fax
| Phone: | 9373466055 |
| Fax: |
Provider Mailing Location
PO BOX 55
WALTON
KY
410940055
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |