Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | 0101253215 | VA |
N | 2080P0207X | Pediatric Hematology-Oncologist | MD24579 | OR |
NPI | 1194793844 |
---|---|
Provider Name | Dr. Kevin Glen Norwood |
First Address | Richmond, VA 23226-1934 |
Second Address | Richmond, VA 23226-1934 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2006 |
Last Update Date | 17/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
227047 | (05) | OR |
C06778 | GROUP PTAN (01) | VA |
H65353 | (02) | OR |