Individual
MICHAEL RAYMOND NORVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1025 NEW MOODY LN, LA GRANGE, KY 40031-9154
(502) 222-8586
Mailing address
5200 COMMERCE CROSSINGS DR FL 3, LOUISVILLE, KY 40229-2182
(502) 253-4924
(502) 489-5750
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04906
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100744060
—
KY
Enumeration date
05/29/2018
Last updated
03/07/2023
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