Provider Demographics
NPI:1538136536
Name:CORNWELL, KAREN R (MD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:R
Last Name:CORNWELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:R
Other - Last Name:BOWMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1010 CARONDELET DR
Mailing Address - Street 2:STE 328
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114-4859
Mailing Address - Country:US
Mailing Address - Phone:816-941-0700
Mailing Address - Fax:816-941-4189
Practice Address - Street 1:1010 CARONDELET DR
Practice Address - Street 2:STE 328
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-4859
Practice Address - Country:US
Practice Address - Phone:816-941-0700
Practice Address - Fax:816-941-4189
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2010-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR9540207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
13814022OtherBLUE CROSS
C50801Medicare UPIN