Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RAYMOND L CORNELISON, MD
Active Sole ProprietorDermatology · CHICKASHA, OK
Registration Details
- NPI Number
- 1003884339
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 11, 2006 (20.114441514403 yrs)
- Last Updated
- Nov 4, 2025
- Licenses
-
9074 (OK)9074 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2222 W IOWA AVECHICKASHA, OK, 730182738Browse OK providers · Browse ZIP 73018
- Phone
- 4052248111
- Fax
- 4055940708
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.