Individual
KENYATTA D NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1209 WASHINGTON AVE, STE 518, SAINT LOUIS, MO 63103-1996
(317) 345-7518
Mailing address
1209 WASHINGTON AVE, STE 518, SAINT LOUIS, MO 63103-1996
(317) 345-7518
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036128850
IL
Other
Enumeration date
08/06/2007
Last updated
02/05/2014
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