Individual
DR. KEVIN GLEN NORWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5875 BREMO RD, MOB SOUTH SUITE 104, RICHMOND, VA 23226-1934
(804) 281-8182
(804) 281-8263
Mailing address
5875 BREMO RD, MOB SOUTH SUITE 104, RICHMOND, VA 23226-1934
(804) 281-8182
(804) 281-8263
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
0101253215
VA
2080P0207X
Pediatric Hematology & Oncology Physician
MD24579
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227047
—
OR
01
—
C06778
GROUP PTAN
VA
Enumeration date
03/09/2006
Last updated
01/17/2013
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