NPI age
19 years
Enumerated 2007-02-28
● Active
Type 1 · Individual
Kelli Jean Cornwall, CFA
Cornwall is 1 of 20 specialist/technologist, other providers in Boise and 1 of 39 in Idaho.
Primary specialty
Specialist/Technologist, Other
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 39 active specialist/technologist, other providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
5% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-02Enumerated in NPPES
2007
2026
Where they practice
Practice location
6140 Curtisian Ave Ste 102
Boise, ID 837040109
Mailing address
6140 Curtisian Ave Ste 102
Boise, ID 837040109
Specialties
-
Specialist/Technologist, Other PrimarySurgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | SA024 | BLUE CROSS |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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