Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 0425038 | KS |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 0425038 | KS |
NPI | 1063477966 |
---|---|
Provider Name | Kevin D Norris |
First Address | Salina, KS 67401-4190 |
Second Address | Salina, KS 67401-4190 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2006 |
Last Update Date | 03/10/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100160960C | (05) | KS |