Individual provider · Type 1 NPI
Kevin Matthew Cornett, MSN, RN
Nurse Practitioner · Boston, MA
Practice location
55 Fruit St
Boston, MA 02114-2696
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other practice locations
- 300 Stein Plaza Suite 420, Los Angeles, CA 90095-2072 · (310) 825-5111
- 1131 Wilshire Blvd Ste 100, Santa Monica, CA 90401-2072 · (310) 319-3475
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | RN10021104 (MA) |
| Registered Nurse | 163W00000X | 95086714 (CA) |
| Acute Care Nurse Practitioner | 363LA2100X | 95018707 (CA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1467120840
Kevin Matthew Cornett, MSN, RN's National Provider Identifier is 1467120840, issued on Sep 1, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Boston, MA. The record was last updated on Apr 30, 2025.