KAITLYN ROSE CORNMAN PA-C NPI 1477221794

NPI Information

  • NPI: 1477221794
  • Provider Name: KAITLYN ROSE CORNMAN, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5116 W TAFT RD
    LIVERPOOL, NY
    ZIP 13088
  • Phone: (315) 458-6601

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NPI Details

Kaitlyn Rose Cornman, PA-C is a medical physician assistant in Liverpool, NY. Kaitlyn Rose Cornman, PA-C NPI is 1477221794. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5116 W TAFT RD
LIVERPOOL, NY
ZIP 13088-821
Phone: (315) 458-6601

The NPI 1477221794 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/1/2021 and was last updated on 9/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical027160NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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