NPI 1023840964

Kayla Faye Cornell

Practitioner Physician Assistant Meridian, ID

Practice location

Address: 3655 E Tahiti Dr, Meridian, ID 83646-5342
Phone: (208) 631-4385

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1023840964
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Aug 2024
Record last updated: 19 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.