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Miss Kelly Cornelison, PA-C,RT(R)
Student in an Organized Health Care Education/Training Program in Boston, Massachusetts
NPI 1043817620

Kelly Cornelison is a Student in an Organized Health Care Education/Training Program based in Boston, MA. Kelly Cornelison practices in Boston, MA and has the professional credentials of PA-C,RT(R). The NPI Number for Kelly Cornelison is 1043817620 and holds a License No. PA8440 (Massachusetts).

The current practice location address for Kelly Cornelison is 336 Huntington Ave, Boston, MA and can be reached out via phone at 617-373-3195.

Location: 336 Huntington Ave, Boston, MA, 02120-3532
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043817620
Provider Name
Kelly Cornelison
Credential
PA-C,RT(R)
Provider Entity Type
Individual
Gender
Female
Address
336 Huntington Ave, Boston, MA, 02120-3532
Phone Number
617-373-3195
Fax Number
Provider Enumeration Date
10/06/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
336 Huntington Ave
City
Boston
State
Massachusetts
Zip
02115
Phone Number
617-373-3195
Fax Number
person
Provider Business Mailing Address Details
Address
336 Huntington Ave
City
Boston
State
Massachusetts
Zip
02115
Phone Number
617-373-3195
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
(Massachusetts)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
PA8440 (Massachusetts)
Definition
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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