Search › Kentucky › 225100000X
Jason Cornelison
NPI 1891467791 · on the registry since 2021 · sole proprietor
Practice
- Address
- 200 Pleasant View Dr
Georgetown, KY 40324 - Phone
- (904) 806-8102
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-09-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky