KELLI JEAN CORNWALL CFA NPI 1578691036

NPI Information

  • NPI: 1578691036
  • Provider Name: KELLI JEAN CORNWALL, CFA
  • Classification: - 246ZS0400X
  • Entity Type: Individual
  • Address: 6140 CURTISIAN AVE STE 102
    BOISE, ID
    ZIP 83704
  • Phone: (208) 367-2834

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NPI Details

Kelli Jean Cornwall, CFA is a healthcare provider in Boise, ID. Kelli Jean Cornwall, CFA NPI is 1578691036. 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:

6140 CURTISIAN AVE STE 102
BOISE, ID
ZIP 83704-109
Phone: (208) 367-2834
Fax: (208) 367-4227

The enumeration date for this NPI number is 2/28/2007 and was last updated on 7/8/2007.

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
1246ZS0400X86169IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1SA024OTHERIDAHOBLUE CROSS

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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