Kimberly E Cornell (NPI# 1083083638, PAC ID# 4688974256) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1083083638 |
| PAC ID by PECOS | 4688974256 |
| Professional Enrollment ID | I20151203002512 |
| Full Name | Kimberly E Cornell |
| Organization Legal Name | MIDDLESEX DERMATOLOGY, LLC |
| Address |
11 S Main St Middletown CT 06457-3656 |
| Phone Number | 8603474555 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5799054839 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070020 | MIDDLESEX HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 11 S Main St, Middletown, CT 06457-3656 | 8603474555 | MIDDLESEX DERMATOLOGY, LLC |
| Organization Legal Name | MIDDLESEX DERMATOLOGY, LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric J Thomas | Dermatology | Middlesex Dermatology, LLC | 11 S Main St, Middletown, CT 06457-3656 |
| Street Address |
11 S MAIN ST |
| City | MIDDLETOWN |
| State | CT |
| Zip | 06457-3656 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melvin Rex Carter | Family Medicine | 11 S Main St, Hurricane, UT 84737-1949 | |
| Susan Mcnamara | Psychiatry | 11 S Main St, Suite 2, Middletown, CT 06457-3656 | |
| Lawrence P Ryan | Oral Surgery | 11 S Main St, Suite 1, Marlborough, CT 06447-1565 | |
| Clara Fellows Chapman | Psychologist, Clinical | 11 S Main St, Middletown, CT 06457-3656 | |
| Eric J Thomas | Dermatology | Middlesex Dermatology, LLC | 11 S Main St, Middletown, CT 06457-3656 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lewis R Labbadia | Chiropractic | Labbadia Carroccia Chiropractic Offices PC | 909 Newfield St, Middletown, CT 06457-1817 |
| Candito C Carroccia | Chiropractic | Labbadia Carroccia Chiropractic Offices PC | 909 Newfield St, Middletown, CT 06457-1817 |
| William F Weiss | Chiropractic | Labbadia Carroccia Chiropractic Offices PC | 909 Newfield St, Middletown, CT 06457-1817 |
| Janet S Shapiro-weiss | Psychiatry | 7 Spring St, Middletown, CT 06457-2238 | |
| Paige Abby Mcmullen | Clinical Social Worker | 136 Lincoln St, Middletown, CT 06457-2641 | |
| Tiffany T Perri | Optometry | Oculus, LLC | 460 Main St, Middletown, CT 06457-2855 |
| Jola Rzegocki | Optometry | Oculus, LLC | 460 Main St, Middletown, CT 06457-2855 |
| Jenny Y Cha | Optometry | Oculus, LLC | 460 Main St, Middletown, CT 06457-2855 |
| Michael Vajda | Chiropractic | 761 Washington St, Middletown, CT 06457-2903 | |
| Jyoti Mittal | Physician Assistant | Mhs Primary Care, Inc | 896 Washington St, Middletown, CT 06457-2912 |
| Find all physicians in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MIDDLETOWN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kimberly E Cornell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.