Provider Demographics
NPI:1942445317
Name:CORNETT, ALAN DALE (DO)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:DALE
Last Name:CORNETT
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Gender:M
Credentials:DO
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Mailing Address - Street 1:2790 CLAY EDWARDS DR
Mailing Address - Street 2:SUITE #650
Mailing Address - City:NORTH KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116-3276
Mailing Address - Country:US
Mailing Address - Phone:816-459-7500
Mailing Address - Fax:816-459-9611
Practice Address - Street 1:2790 CLAY EDWARDS DR
Practice Address - Street 2:SUITE #650
Practice Address - City:NORTH KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116-3276
Practice Address - Country:US
Practice Address - Phone:816-459-7500
Practice Address - Fax:816-459-9611
Is Sole Proprietor?:No
Enumeration Date:2008-12-12
Last Update Date:2023-10-30
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Provider Licenses
StateLicense IDTaxonomies
MO2007005515207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery