Wellformed AI

NPI 1225018864 · live from the CMS NPI Registry

Rebecca S Cornelius, MD

Radiology, Diagnostic Radiology in Crestview Hills, KY. National Provider Identifier 1225018864, active.

NPI record

NPI1225018864 Type 1 · individual
StatusActive
Primary specialtyRadiology, Diagnostic Radiology 2085R0202X
Practice location350 Thomas More Pkwy, Suite 160, Crestview Hills, KY 41017
Practice phone513-221-1100
Mailing addressPo Box 636256 Central Credentialing, Cincinnati, OH 45263
EnumeratedJanuary 19, 2006
Last updatedFebruary 19, 2018
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Radiology, Diagnostic Radiology2085R0202X35.059824 (OH)
Radiology, Diagnostic Radiology primary2085R0202X35381 (KY)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.