Kristen Cornett

Athletic Trainer · Fort Drum, NY

Individual Active NPI

NPI number 1508475211

Practice location

20460 Anaconda Rd
Fort Drum, NY 13603
Phone
(719) 428-9621

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NPI record

NPI
1508475211
Entity type
Individual (Type 1)
Enumeration date
July 28, 2020
Last updated
August 10, 2022
Certified
August 3, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X AT.0002144 CO

Mailing address

9646d Butler Loop
Fort Drum, NY 13603-3217

About Kristen Cornett

Kristen Cornett is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 20460 Anaconda Rd, Fort Drum, NY 13603. The NPI number 1508475211 was assigned on July 28, 2020 and the record was last updated on August 10, 2022.

Kristen Cornett lists a license in the registry: #AT.0002144 (CO) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kristen Cornett?

The NPI number is 1508475211.

What is the phone number of Kristen Cornett?

The phone number listed for the practice location is (719) 428-9621.

Where is Kristen Cornett located?

20460 Anaconda Rd, Fort Drum, NY 13603.

What is the taxonomy code for Kristen Cornett?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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