Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelli Jean Cornwall, CFA

Individual provider Surgical Technologist · NPI 1578691036

Kelli Jean Cornwall, CFA is a Surgical Technologist in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007

Practice location Address checks out

6140 Curtisian Ave Ste 102
Boise, ID 83704-0109
Phone: (208) 367-2834
Fax: (208) 367-4227
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Technologist (primary) Taxonomy 246ZS0410X · Licence 86169 (ID)

Record details

NPI number1578691036
Entity typeIndividual (Type 1)
GenderFemale
Credentials CFA
Sole proprietorNo
NPI enumeratedFebruary 28, 2007
Last updated in NPPESJuly 8, 2007
Mailing address6140 Curtisian Ave Ste 102, Boise, ID 83704-0109

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