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

Kinsey Cornick, DO

Individual provider Family Medicine Physician · NPI 1306339502

Kinsey Cornick, DO is a Family Practice in Eden Prairie, Minnesota. Qualified in 2018, 8 years ago. Practices with New York Institute of Technology, a 44-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota and Missouri.

Years since qualifying
8
Licensed in
MN, MO
In the registry since
2018
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

8455 Flying Cloud Dr
Eden Prairie, MN 55344-3974
Phone: (952) 993-7400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4600 Valley Rd Ste 200, Lincoln, NE 68510-4882 — (402) 483-4571

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 69461 (MN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 2018019014 (MO)

Record details

NPI number1306339502
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 12, 2018
Last updated in NPPESSeptember 2, 2021
Certification dateSeptember 2, 2021
Mailing address8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice New York Institute Of Technology — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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