Provider Demographics
NPI:1093795130
Name:CORNING, KEN (MS, CGC)
Entity Type:Individual
Prefix:MR
First Name:KEN
Middle Name:
Last Name:CORNING
Suffix:
Gender:M
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1911 THURMOND MALL
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29201-2375
Mailing Address - Country:US
Mailing Address - Phone:803-799-5390
Mailing Address - Fax:803-799-5391
Practice Address - Street 1:1911 THURMOND MALL
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201-2375
Practice Address - Country:US
Practice Address - Phone:803-799-5390
Practice Address - Fax:803-799-5391
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS