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

Kristen Cornett

Individual provider Athletic Trainer · NPI 1508475211

Kristen Cornett is an Athletic Trainer in Fort Drum, New York. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2020
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Practice location Address checks out

20460 Anaconda Rd
Fort Drum, NY 13603
Phone: (719) 428-9621
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT.0002144 (CO)

Record details

NPI number1508475211
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 28, 2020
Last updated in NPPESAugust 10, 2022
Certification dateAugust 3, 2022
Mailing address9646d Butler Loop, Fort Drum, NY 13603-3217

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