Individual provider · Type 1 NPI

Bruce G. Cornelius, MD

Student in an Organized Health Care Education/Training Program · Kansas City, MO

NPI number 1336345677 Active

Practice location

1000 E 24th St
Kansas City, MO 64108-2776

Call (612) 822-2242 Map

Mailing address

3437 Holmes St
Kansas City, MO 64109-2360

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X2007017269 (MO)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1336345677

Bruce G. Cornelius, MD's National Provider Identifier is 1336345677, issued on Jun 24, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Kansas City, MO. The record was last updated on Jul 8, 2007.