| Doctor Name: | MRS. KATHLEEN ANNE CORNELSEN |
| NPI Number: | 1356564975 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | RN336307 |
| Business Practice Address: | 9263 South Lacjac Ave Reedley, CA - 936549204 |
| Business Phone Number: | 5596264819 |
| Business Fax Number: | |
| Mailing Address: | 9263 South Lac Jac Ave, REEDLEY |
| State: | CA |
| Postal Code: | 936549204 |
| Phone Number: | 5596385633 |
| Fax Number: | |
| NPI Enumeration Date: | 04/11/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WH0200X |
| License Number: | RN336307 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Home Health |
| Taxonomy Definition: | |